腹膜透析患者成功怀孕:病例报告

Nada El Kadiri, Sara El Maakoul, Mina Agrou, N. Hikki, N. Ouzeddoun, Loubna Benamar
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引用次数: 0

摘要

简介透析患者受孕是一件罕见的事情。在腹膜透析(PD)患者中,由于腹膜透析技术的半衰期较短,这种情况比较特殊,因为这些患者都是年轻女性,通常都在等待移植项目:我们报告了一例完全通过腹膜透析成功怀孕的病例,患者已接受腹膜透析治疗 2 年,残余肾功能得以保留。"怀孕之初,我们的患者接受的是持续非卧床腹膜透析(CAPD),在闭经 12 周(WA)时,我们建议患者接受自动腹膜透析(APD),以获得更好的液体和钠消耗以及充分的透析。分娩计划在 35 WA 时进行剖腹产,新生儿重 3.5 公斤,Apgar 指数为 10/10。2 周后恢复了 CAPD。经过 4 年的随访,患儿健康状况良好,我们的患者正在接受 APD:讨论:在腹膜透析过程中,妊娠仍然是一种罕见但可能发生的情况。讨论:在腹膜透析中,妊娠仍然是罕见但可能发生的情况,需要定期调整透析处方,并进行密切的临床和生物学随访,以改善母胎预后:结论:腹膜透析患者成功怀孕需要多学科护理。由于技术的进步(APD、肾外透析)和促红细胞生成素的引入,预后有所改善。然而,相关数据还不够充分,还需要对更多患者进行最新研究。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Successful pregnancy in peritoneal dialysis: a case report
Introduction: Conception in dialysis patients is a rare event. In peritoneal dialysis (PD), it is exceptional due to the technique’s short half-life, as these are young women who are often waiting for a transplant project. Clinical observation: We report a case of successful pregnancy conducted exclusively on peritoneal dialysis in a patient on PD for 2 years with preserved residual renal function. At the beginning of pregnancy, our patient was on continuous ambulatory peritoneal dialysis (CAPD), and at 12 weeks of amenorrhea (WA), we indicated automated peritoneal dialysis (APD) for better fluid and sodium depletion and adequate dialysis. The delivery was programmed at 35 WA per caesarian section, which gave birth to a newborn weighing 3.5 kg and with an Apgar index of 10/10. CAPD was resumed 2 weeks later. After 4 years of follow-up, the child is in good health, and our patient is on APD. Discussion: In peritoneal dialysis, pregnancy remains a rare but possible event. It requires regular adaptation of the prescription of dialysis and a close clinical and biological follow-up to improve the maternal-fetal prognosis. Conclusion: Successful pregnancy in PD requires multidisciplinary care. The prognosis has improved thanks to advances in the technique (APD, extrarenal) and the introduction of erythropoietin. However, the data are insufficient, and more recent studies on larger numbers are needed.
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