血液净化治疗妊娠合并急性肾功能衰竭

The use of blood purification in the treatment for pregnancy patients with acute renal failure.

目的 探讨血液净化方法在妊娠合并急性肾功能衰竭(ARF)的应用及疗效。方法 对我院从1996年1月至2001年8月期间收治14例妊娠合并ARF患者,选用血液透析(HD)或连续静静脉血液滤过(CVVH),进行临床资料回顾性分析。结果 选用血液透析(HD)或连续静静脉血液滤过(CVVH)14例病人中4例采用血液透析(HD)治疗,7例采用连续静静脉血液滤过(CVVH)治疗,3例采用HD+CVVH治疗;14例中有1例曾行血浆置换治疗;12例患者进行疗效分析,死亡率为16.67％。结论 妊娠合并急性肾衰患者早期应用血液净化方法,疗效较好;合并多脏器衰竭连续性血液净化治疗比间歇性血透更具优势。

Objective To analyze the effect of blood purification on the patients with ARF. Methods The clinical data of 14 pregnant women with acute renal failure were studied by retrospectivcely, vvhich were treated either by HD or CWH. Results Among the 14 patients,4 cases were treated by hemodialysis(HD); 7 cases by continuous ven-ovenus veno hemofiltration(CVVH); 3 cases by the combination of HD and CWH. l case had ever been treated by plasmapheresis.The mortaliy was 16.67% . Condusions Blood purification improves the ARF patien's condition in pregnancy at the earlier stage;The continuous blood purification is much better than the intermittent in the patient with MODS.