血液透析により母子ともに救命できた急性腎不全の1例

SUCCESSFUL DELIVERY IN A PATIENT ON HEMODIALYSIS DUE TO ACUTE RENAL FAILURE

はじめに

　出産後の急性腎不全に対し血液透析を施行した症例は数多いが，妊娠中に急性腎不全を合併し，血液透析により母子ともに救命できた症例はきわめてまれである。

　われわれは妊娠34週に急性腎不全を合併した妊婦に対し血液透析を施行し，母子ともに救命できた症例を経験したので報告する。

Mother and child was rescued by hemodialysis which was performed on a 34 week pregnant with acute renal failure.

A 25 year old primipara was admitted for hemodialysis under the diagnosis of acute renal failure which developted after shock from medication followed by anuria. She delivered a healthy girl on the 36th week, weighing 1790g by natural labor, after 4 hemodialysis. Patient was discharged without any event after delivery.