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妊娠에 合倂된 Nephrotic Syndrome 의 1例

A Case of Nephrotic Syndrome Complicated in Pregnacy

대한산부인과학회지 1963년 6권 7호 p.61 ~ 63
金亮浩, 白雲松,
소속 상세정보
金亮浩 (  ) - 서울대학교 의과대학 산부인과학교실
白雲松 (  ) - 서울대학교 醫科大學 産婦人科學敎室

Abstract


The following is a case report of the nephrotic syndrome appearing in the third trimester of pregnancy. The nephrotic syndrome is a rare complication of pregnancy, occuring in from 0.1 per cent to 0.028 percent of pregnancies and the appearance of the syndrome at this stage of gestation might suggest toxemia, but the diagnosis of rephrotic syndrome was based on the presence of edema, proteinuria, hypoproteinem a, and hypercholesteremia, with or without hypertension or azotemia.
The patient, age 27, para 0-0-1-0, were complained of generized edema, abdominal distension, smoky urine, hypertension, and visual disturbance on the 30th weeks of pregnancy.
The brief laboratory findings and coarse of treatment were summarized in Table 1. Steroid therapy was begun combined with diuretics, but the patient´s symptoms and signs were aggrevated, and decided the termination of her pregnancy by induction (Bougie and I. V. Pitocin) in the 13th hospitalized day. she delivered on the 15th hospititalized day of a prematured, apparently normal infant, which weighed 1.1kg. and the baby increased to 2.3Kg in incubator on 80th day of delivery, and discharged on the 94th day of delivery with 2.78Kg of body weight and showed no detrimental effects of the maternal prenatal steroid therapy.
Short review concerning the nephrotic syndrome in pregnancy were discussed briefly.

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