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急性肾功能衰竭(ARF)在妊娠妇女多于非妊娠妇女,在妊娠中的发生率约为1/3500。妊娠期较易发生ARF,特别是肾皮质坏死(占妊娠中ARF的15%)这可能与妊娠时细菌内毒素更易于引起肾缺血和妊娠时的高凝状态有关。ARF可发生于妊娠的任何时期或产后(流产、引产及正常产)。妊娠早期的ARF,多为急性肾小管坏死(ATN),严重者发生急性肾皮质坏死。共病因多为感染性流产所致的败血症引起,目前已少见。妊娠期ARF常发生于晚期及产后,分述如下:
Acute renal failure (ARF) in pregnant women more than non-pregnant women, the incidence of pregnancy is about 1/3500. ARF is more likely to occur during pregnancy, especially renal cortical necrosis (15% of ARF in pregnancy). This may be related to bacterial endotoxemia during pregnancy more likely to cause renal ischemia and hypercoagulable state during pregnancy. ARF can occur at any stage of pregnancy or after childbirth (abortion, induced abortion and normal production). ARF early pregnancy, mostly acute tubular necrosis (ATN), severe acute renal necrosis occurred. Common cause of sepsis caused by sepsis caused by infectious abortion, has been rare. ARF during pregnancy often occurs in late and postpartum, are as follows: