妊娠与肾脏病分解.ppt

中山大学附一院肾内科陈崴 CASE A 32-year-old white woman is admitted with headache and hypertension at 22 weeks gestation. During the current pregnancy, her BP was 110/80 at 7 weeks gestation, but increased to 130/80 at 9 weeks and 140/90 at 19 weeks. Her past history is positive for two previous spontaneous abortions at 11 and 12 weeks gestation.Physical examination reveals BP of 150/110, both pulmonary congestion and peripheral edema, and hyperreflexia with 3 to 4 beat clonus. LABORATORY DATA BUN 3.23mmol/LCreatinine 88μ mol/L Hematocrit 28 % Hgb 9g/L Ret 2% Platelets 61,000 PT,APTT normalC3 0