Pregnancy in a patient with renal tubular acidosis (clinical observation): management strategy, delivery and correction of metabolic disorders


如何引用文章

全文:

开放存取 开放存取
受限制的访问 ##reader.subscriptionAccessGranted##
受限制的访问 订阅或者付费存取

详细

Aim To examine the features of clinical presentation and pregnancy-management strategy in a patient with distal renal tubular acidosis (type і). Materials and methods Medical history, findings of clinical, laboratory and instrumental examination, management strategy of pregnancy and childbirth in a patient with a rare kidney disease were analyzed. Results In 2014 a patient with renal tubular acidosis type 1 had an uneventful delivery at MRSIOG. a particular difficulty of the case was maintaining pregnancy with chronic metabolic acidosis, anesthesia for cesarean section, and correction of water electrolytes and acid-base balance abnormalities during and after delivery. Conclusion Planning and prolonging pregnancy in patients with renal tubular acidosis are feasible, provided that early diagnosis is made and proper correction of metabolic abnormalities is carried out. However, it is associated with a high risk of anesthesia and perinatal complications, and, therefore, requires continuous monitoring of clinical and laboratory indicators of pregnancy and delivery in the settings of highly specialized maternity hospitals.

全文:

受限制的访问

参考

  1. Батурина Т.В., Сергеева Т.В. Ренальный тубулярный ацидоз (обзор литературы). Нефрология и беременность. 2003; 5(2): 122-127.
  2. Jha R., Muthukrishnan J., Shiradhonkar S., Patro K., Harikumar K., Modi K.D. Clinical profile of distal renal tubular acidosis. Saudi J. Kidney Dis. Transpl. 2011; 22(2): 261-267.
  3. Isa W.Y., Daud K.M. Distal renal tubular acidosis in HIV/AIDS patient. Intern Med. 2011; 50(16): 1765-1768.
  4. Shanbag P., More V., David J. Distal renal tubular acidosis in a child with HIV infection. Saudi J. Kidney Dis. Transpl. 2012; 23(5): 1035-1037.
  5. Володин Н.Н., Мухина Ю.Г. Детские болезни. Т.2. Нефрология. М., 2011. 379 с.
  6. Escobar L., Mejia N., Gil H., Santos F. Distal renal tubular acidosis: a hereditary disease with an inadequate urinary H+ excretion. Nefrologia. 2013; 33(3): 289-296.
  7. Domrongkitchaiporn S., Pongsakul C., Stitchantrakul W., Sirikulchayanonta V., Ongphiphadhanakul B., Radinahamed P., Karnsombut P., Kunkitti N., Ruang-raksa C., Rajatanavin R. Bone mineral density and histology in distal renal tubular acidosis. Kidney Int. 2001; 59(3): 1086-1093.
  8. Bajpai A., Bagga A., Hari P., Bardia A., Mantan M. Long-term outcome in children with primary distal renal tubular acidosis. Indian Pediatr. 2005; 42(4): 321-328.
  9. Weng K.P., Hung Y.M., Huang S.H., Chio Y.H., Hsieh K.S. Secondary erythrocytosis in distal renal tubular acidosis: report of one case. Acta Paediatr. Taiwan. 2000; 41(2): 90-92.
  10. Bresolin N.L., Grillo E., Fernandes V.R., Carvalho F.L., Goes J.E., da Silva R.J. A case report and review of hypokalemic paralysis secondary to renal tubular acidosis. Pediatr. Nephrol. 2005; 20(6): 818-820.
  11. Muthukrishnan J., Harikumar K., Jha R., Modi K. Pregnancy predisposes to rhabdomyolysis due to hypokalemia. Saudi J. Kidney Dis. Transpl. 2010; 21(6): 1127-1128.
  12. Корячкин В.А., Страшнов В.И. Интенсивная терапия угрожающих состояний. СПб, 2002. 286 с.
  13. Domrongkitchaiporn S., Khositseth S., Stitchantrakul W., Tapaneya-olarn W., Radinahamed P. Dosage of potassium citrate in the correction of urinary abnormalities in pediatric distal renal tubular acidosis patients. Am. J. Kidney Dis. 2002; 39(2): 383-391.
  14. Tapaneya-Olarn W., Khositseth S., Tapaneya-Olarn C., Teerakarnjana N., Chaichanajarernkul U., Stitchantrakul W., Petchthong T. The optimal dose of potassium citrate in the treatment of children with distal renal tubular acidosis. J. Med. Assoc Thai. 2002; 85(4): S1143-S1149.
  15. Елисеев М.С., Барскова В.Г. Применение цитратной смеси Блемарен у больных подагрой с нефролитиазом. Современная ревматология. 2008; 3: 35-40.
  16. Современные возможности растворения уратных камней мочеточника. Медицинский вестник. 2012; 30(607): http://www.medvestnik.ru/archive/sovremennye_vozmozhnosti_rastvoreniya_uratnyh_kamney_mochetochnika.html

补充文件

附件文件
动作
1. JATS XML
下载