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作 者:乃吾拜尔·阿布都克尤木 黄萱[1] 李素华[1]
机构地区:[1]新疆医科大学第一附属医院肾脏疾病中心,新疆 乌鲁木齐
出 处:《临床医学进展》2024年第3期1697-1703,共7页Advances in Clinical Medicine
摘 要:妊娠期急性肾损伤是一个公共卫生问题,也是孕产妇和胎儿发病和死亡的一个重要原因。在发达国家,随着高龄产妇比例的提升,妊娠相关急性肾损伤的发生率呈现上升趋势,在发展中国家,由于产前保健水平不高,发病率仍处于较高水平。症状的多样性和临床与实验室表现的重叠性使得诊断PR-AKI具有极大的挑战性。这篇综述重点介绍了妊娠相关急性肾损伤病因、诊断、治疗的最新研究进展,为临床早期识别和诊断PR-AKI,及早采取干预措施,以改善产妇和胎儿的结局提供参考。Acute kidney injury in pregnancy is a public health problem and an important cause of maternal and fetal morbidity and mortality. In developed countries, the incidence of pregnancy-related acute kidney injury (PR-AKI) has shown an increasing trend as the proportion of women of advanced maternal age rises, however, in developing countries, the incidence is still at a high level due to the low level of prenatal care. The diversity of symptoms and the overlap of clinical and laboratory manifestations make the diagnosis of Pr-AKI extremely challenging. This review highlights the latest research advances in the etiology, diagnosis, and treatment of pregnancy-associated acute kidney injury (PR-AKI) to provide a reference for the early clinical recognition and diagnosis of PR-AKI and early intervention to improve maternal and fetal outcomes.
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