妊娠期高血压疾病并发肾脏功能障碍的诊治  

Diagnosis and management of pregnancy induced hypertension complicated by renal dysfunction

作　　者：李宇琪[1] 乔福元[1] 

机构地区：[1]华中科技大学同济医学院附属同济医院妇产科,湖北武汉430030

出　　处：《中国实用妇科与产科杂志》2011年第12期905-908,共4页Chinese Journal of Practical Gynecology and Obstetrics

摘　　要：妊娠期高血压疾病并发肾脏功能障碍尤为常见。单纯性蛋白尿的发生被认为是正常妊娠向子痫前期发展的一个阶段;妊娠期高血压疾病并发肾病综合征具有妊娠期高血压疾病的临床表现和肾病综合征"三高一低"的典型症状;重度子痫前期是妊娠期急性肾功能衰竭的主要病因,尽早开始肾脏替代治疗是缓解病情的有效手段。及时的诊断与治疗对缓解妊娠期高血压疾病并发肾脏功能障碍患者的病情及改善围生儿结局十分重要。Renal dysfunction is usually involved in gestational hypertension. Isolated proteinuria is considered to be a stage during the information of preeclampsia. Nephritic syndrome with pregnancy induced hypertension is a special type of gestational hypertension of which manifestation includes hyper- tension and ＂ three high level and one low level＂ of nephritic syndrome. Severe preeclampsia is the primary cause of acute renal injury（AKI） during preg- nancy,initiate renal replacement therapy as soon as possible is helpful. Therefore, enhance diagnose and therapy of kidney dysfunction of gestational hypertension is very important to help alleviate patients＇ condition and improve the outcome of neonatal.

关 键 词：妊娠期高血压疾病 单纯性蛋白尿 肾病综合征 急性肾损伤 

分 类 号：R714.246[医药卫生—妇产科学]