[The dynamic importance of proteinuria and arterial pressure for detecting late toxicosis in pregnant women with chronic kidney diseases and hypertension].

Abstract:

:Time course of 187 pregnancies was followed up in 103 females with chronic renal diseases (CRD), 76 females with essential hypertension (EH) and 14 posteclampsia females. Three variants of arterial pressure (AP) and 5 types of proteinuria changes were recognized in CRD and EH patients. The pattern of these changes was compared to that in posteclampsia patients, the eclampsia being an absolute criterium of late toxicosis. It is shown that neither elevated AP and proteinuria nor their absolute values can serve reliable signs of late gestosis in CRD and EH patients. Only the trend in these parameters is significant. CRD and EH females with late gestosis exhibit rapidly growing proteinuria in line with the onset or exacerbation of EH. Retrospective analysis of the pregnancies has confirmed association of late gestosis in 15% of EH and 7% of chronic glomerulonephritis patients. These estimates are lower than commonly accepted. Early diagnosis of late gestosis in pregnant females with CRD and EH requires not only regular AP registration, but also dynamic, in some cases hourly, evaluation of proteinuria.

journal_name

Ter Arkh

journal_title

Terapevticheskii arkhiv

authors

Rogov VA,Zozulia OV,Tareeva IE,Sidorova IS,Makarov IO,Zhuravlev AV,Shipkova TI,Gertner LK,Beĭlin AL,Belitskaia SG

subject

Has Abstract

pub_date

1995-01-01 00:00:00

pages

24-7

issue

5

eissn

0040-3660

issn

2309-5342

journal_volume

67

pub_type

杂志文章
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  • [The level of R proteins in reactive arthritis].

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    doi:

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    更新日期:1986-01-01 00:00:00

  • [Changes in the functional activity of neutrophils during hemosorption therapy of patients with systemic rheumatic and other diseases with immunologic disorders].

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