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慢性肾小球肾炎(简称慢性肾炎)的妇女,妊娠时肾脏负担加重,影响肾脏功能,严重者常危及孕妇及胎儿的生命,故必须引起重视。上海医科大学附属妇产科医院1981年1月1日～1984年12月31日共收治慢性肾炎合并妊娠71例,同期分娩总数为26042例,其发生率为1∶367次分娩。临床资料一、一般资料本组年龄在24～34岁,平均28.3岁。慢性肾炎病程1～10年者43例,占61％;11～20年者21例,占29.5％;大于20年者5例,占7％;病程不清2例,占2.5％;初产妇66例,占93％;经产妇5例,占7％。本组阴道产35例,剖宫产36例,剖宫产率为50.7％。以慢性肾炎为指征行剖宫产术者28例,占80％;头盆不称3例;臀位1例;子宫畸形与阴道横隔各1例;胎盘早剥与前置胎盘各1例。阴道分娩总产程时间在2小时35分～16小时38分,平均9小时11分。合并妊娠高血压综合征有31例,占43.7％,其中轻度5例,中度23例,重度3例。二、孕期实验室检查本组71例中,有26例合并继发性贫血,占36％。
Chronic glomerulonephritis (referred to as chronic glomerulonephritis) women, pregnancy, heavier kidney burden, affecting kidney function, often in serious cases of pregnant women and their fetus life-threatening, they must pay attention. Obstetrics and Gynecology Hospital Affiliated to Shanghai Medical University, January 1, 1981 to December 31, 1984 were treated with chronic nephritis in 71 cases of pregnancy, the same period the total number of deliveries of 26042 cases, the incidence of 1:367 delivery. Clinical data First, the general information The group aged 24 to 34 years, mean 28.3 years old. Chronic nephritis in 1 to 10 years in 43 cases, accounting for 61%; 11 to 20 years in 21 cases, accounting for 29.5%; more than 20 years in 5 cases, accounting for 7%; 2 cases of unclear course, accounting for 2.5%; primipara 66 cases, accounting for 93%; 5 cases of maternal, accounting for 7%. 35 cases of vaginal delivery in this group, 36 cases of cesarean section, cesarean section rate was 50.7%. Chronic nephritis indications for cesarean section in 28 cases, accounting for 80%; 3 cases of head basin is not known; breech 1 case; 1 case of uterine malformations and vaginal septum; placental abruption and placenta previa 1 example. Vaginal delivery of total labor time in 2 hours and 35 minutes to 16 hours and 38 minutes, an average of 9 hours 11 minutes. There were 31 cases of pregnancy-induced hypertension syndrome, accounting for 43.7%, of which 5 were mild, 23 moderate and severe in 3 cases. Second, pregnancy laboratory tests 71 patients in this group, 26 cases of secondary anemia, accounting for 36%.