Successful Pregnancy in a Patient with Autosomal Dominant Polycystic Kidney Disease on Long-Term Hemodialysis

被引：7
|
作者：
Jung, Ji Hye [1 ]
Kim, Min Jeong [1 ]
Lim, Hye Jin [1 ]
Sung, Su-Ah [1 ]
Lee, So-Young [1 ]
Kim, Dae Woon [2 ]
Lee, Kyu Beck [3 ]
Hwang, Young-Hwan [1 ]
机构：
[1] Eulji Gen Hosp, Dept Internal Med, Seoul 139872, South Korea
[2] Eulji Gen Hosp, Dept Obstet & Gynecol, Seoul 139872, South Korea
[3] Sungkyunkwan Univ, Sch Med, Kangbuk Samsung Hosp, Div Nephrol, Seoul, South Korea
来源：
JOURNAL OF KOREAN MEDICAL SCIENCE | 2014年 / 29卷 / 02期
关键词：
Pregnancy; Renal Dialysis; Polycystic Kidney; Autosomal Dominant; ADVANCED RENAL-FAILURE; PROPHYLACTIC DIALYSIS; COMPLICATIONS; MANAGEMENT;
D O I：
10.3346/jkms.2014.29.2.301
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
Recent advances in dialysis and a multidisciplinary approach to pregnant patients with advanced chronic kidney disease provide a better outcome. A 38-yr-old female with autosomal dominant polycystic kidney disease (ADPKD) became pregnant. She was undergoing hemodialysis (HD) and her kidneys were massively enlarged, posing a risk of intrauterine fetal growth restriction. By means of intensive HD and optimal management of anemia, pregnancy was successfully maintained until vaginal delivery at 34.5 weeks of gestation. We discuss the special considerations involved in managing our patient with regard to the underlying ADPKD and its influence on pregnancy.
引用
收藏
页码：301 / 304
页数：4
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