ISSN 1006-298X      CN 32-1425/R

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肾脏病与透析肾移植杂志 ›› 2013, Vol. 22 ›› Issue (4): 396-400.

• 论文 • 上一篇    

产后大出血、急性肾损伤

  

  • 出版日期:2013-08-28 发布日期:2013-09-03

Postpartum hemorrhage and acute kidney injury

  • Online:2013-08-28 Published:2013-09-03

摘要:

摘  要   青年女性患者,双胎妊娠产后大出血起病,临床表现为多系统受累:少尿型急性肾损伤(AKI)、急性胰腺炎、急性心功能不全伴肺水肿、贫血、血压升高,尿检示肾小管指标明显异常、无明显蛋白尿及镜下血尿,抗β2糖蛋白抗体阳性,余自身抗体均阴性,肾活检示肾皮质坏死,最终诊断为双侧肾皮质坏死。随访1月,尿量增加至500ml/d,肾功能无明显恢复,改为血液透析2/周。

关键词: 关键词 , 产后大出血 , 急性肾损伤 肾皮质坏死

Abstract:

ABSTRACT  A 26-year-old pluripara presented with postpartum hemorrhage and multiple organ dysfunctions including  acute kidney injury (AKI), acute pancreatitis, acute heart failure and pulmonary edema. Renal biopsy was performed and histological examination showed renal cortical necrosis. One month later, her urine volume increased to 500ml per day, while renal function did not recover and still took dialysis twice per week.

Key words:  postpartum hemorrhage   , acute kidney injury  , renal cortical necrosis