Pregnancy-induced hypertension complicated by postpartum renal failure and pancreatitis: a case report.
Pregnancy-induced hypertension complicated by postpartum renal failure and pancreatitis: a case report.
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妊娠高血压并发产后肾衰竭和胰腺炎：一例报告。
DOI：
10.1055/s-2002-28500
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发表时间：
2002
影响因子：
2
通讯作者：
D. Marzano
中科院分区：
文献类型：
--
作者：
I. Marcovici;D. Marzano
已报道的妊娠期胰腺炎的病因包括：胆结石病、高脂血症、酒精摄入、病毒性和特发性。很少有报告将胰腺炎与妊娠高血压相关。一位35岁女性，因妊娠高血压综合征及自发性胎膜破裂入院引产。她的产后病程并发急性肾衰竭，对呋塞米和白蛋白治疗反应良好。随后，患者发生急性胰腺炎，经保守治疗后痊愈。这可能是由于先兆子痫的全身血管收缩和袢利尿剂在少尿伴肾功能衰竭的情况下引起的胰腺缺血对胰腺具有协同作用。因此，我们建议在妊娠高血压综合征合并急性肾功能衰竭的产后妇女中，应谨慎使用利尿剂，因为它们可能会增加胰腺炎的风险。
Reported causes of pancreatitis in pregnancy include: gallstone disease, hyperlipidemia, alcohol ingestion, viral, and idiopathic. Few reports associate pancreatitis with pregnancy-induced hypertension. A 35-year-old women with pregnancy-induced hypertension and spontaneous rupture of membranes was admitted for induction of labor. Her postpartum course was complicated by acute renal failure that responded well to treatment with Lasix and Albumin. Subsequently, the patient developed acute pancreatitis and recovered following conservative treatment. It is possible that the pancreatic ischemia due to generalized vasoconstriction of preeclampsia and loop diuretics in the setting of oliguria with renal failure, had a synergistic effect on the pancreas. Therefore, we suggest that in postpartum women with pregnancy-induced hypertension and acute renal failure, diuretics should be cautiously used because they may increase the risk of pancreatitis.