ISSN 1006-298X      CN 32-1425/R

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肾脏病与透析肾移植杂志 ›› 2021, Vol. 30 ›› Issue (6): 581-585.DOI: 10.3969/j.issn.1006-298X.2021.06.017

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血液透析患者妊娠及分娩的研究进展

  

  • 出版日期:2021-12-28 发布日期:2021-12-27

Hemodialysis and pregnancy

  • Online:2021-12-28 Published:2021-12-27

摘要: 随着血液透析(HD)患者寿命的延长,生活质量不断提高,关于其妊娠的报道也不断增多,强化HD可延长胎龄,提高活产率。即便如此,妊娠仍对HD患者和医生构成巨大挑战。本文将从HD患者妊娠的流行病学、妊娠和胎儿的结局等方面对目前现有研究及共识做一综述,以期为肾脏科尤其是HD专业的医师对HD合并妊娠或有强烈妊娠意愿的患者管理提供指导。

关键词: 血液透析, 妊娠, 计划生育

Abstract: With the extention of lifespan and improvement of the life quality of hemodialysis (HD) patients, reports of pregnancy are also increasing. Enhanced HD can prolong the gestational age and improve the live birth rate, but pregnancy still poses great challenge for HD patients. In this article, we reviewed the currently existed literature of hemodialysis and pregnancy, including incidence of pregnancy, maternal complications, delivery and birth outcome and supportive alterations to hemodialysis care in pregnancy, looking forward to providing more valuesbased pregnancy and family planning counseling to women with strong desire of motherhood.

Key words: hemodialysis, pregnancy, family planning