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妊高征多发生于妊娠6个月以后,临床表现为高血压、蛋白尿、水肿,严重时发生抽搐,并可合并急性肾功能衰竭、心力衰竭和胎盘早期剥离,如未及时处理,可能威胁孕妇和胎儿的生命。本文着重讨论妊高征合并急性肾功能衰竭的监护和治疗。妊高征合并急性肾功衰的发病机理可能与以下因素有关:①妊娠期肾脏、子宫、胎盘均产生肾素。肾素一血管紧张素系统活性增加,肾小球入球动脉收缩,肾
Pregnancy-induced hypertension occurs more than 6 months after pregnancy, clinical manifestations of hypertension, proteinuria, edema, seizures occur in severe cases, and may be associated with acute renal failure, heart failure and early placental detachment, if not promptly treated, may threaten Pregnant women and fetus’s life. This article focuses on the monitoring and treatment of PIH with acute renal failure. PIH complicated with acute renal failure pathogenesis may be related to the following factors: ① during pregnancy kidney, uterus, placenta produce renin. Renin-angiotensin system activity increased, glomerular afferent artery contraction, kidney