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2004, Number 3

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Med Crit 2004; 18 (3)

Early peritoneal dialysis in patients with acute renal failure due to preeclampsia

Gómez BTE, Rodríguez RM, Briones VCG, Chávez DR, Díaz LPM, Briones GJC
Full text How to cite this article

Language: Spanish
References: 13
Page: 81-85
PDF size: 68.51 Kb.


Key words:

Preeclampsia, early peritoneal dialysis, acute renal failure.

ABSTRACT

Introduction: Preeclampsia is a disease characterized by endothelial damage, capillary leakage, microangiopathy, hemorreologic and hemodynamic alterations, and often kidney damage. Objective: To report the experience with the use of early peritoneal dialysis in preclampsia patients with acute renal failure (ARF). Setting: Preeclampsia-eclampsia Research Unit of a maternal-infantil institute, Toluca, State of Mexico; Mexico. Design: Retrospective study. Patients and methods: We reviewed the files of preeclampsia patients and IRA admitted to obstetric intensive care unit (OICU). Results: During a 24 month-period 587 patients were admitted to the OICU; 423 developed preeclampsia and 16 of these ARF (six required peritoneal dialysis). ARF was associated with HELLP syndrome in 9 cases, stillbirth in nine and to hepatic rupture in one. Renal function was recovered ad integrum, and ICU stay was 11.8 days. Conclusions: The early use of peritoneal dialysis in preeclampsia patients with ARF is related with a good recovery.


REFERENCES

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  2. Díaz de León PM, Briones GJC, Gil RN, Mendoza TAM. Insuficiencia renal aguda en el paciente quemado. Med Crit y Ter Int 2002;16(4):136-144.

  3. Díaz de León PM, Briones GJC, Ably AA, Barrón VJ, Espinosa MML, Juárez AG. Cuidados intensivos en obstetricia. Rev Asoc Mex Med Crit y Ter Int 1997;11(2):36-40.

  4. Velasco MV, Navarrete HE, Cardona PJA, Madrazo NM. Mortalidad maternal por preeclampsia-eclampsia en el Instituto Mexicano del Seguro Social 1987-1996. Rev Med IMSS Mex 1997;35(6):451-546.

  5. Briones GJC, Díaz de León PM, Gómez Bravo TE, Ávila EF, Salazar ED, Morales RG, Briones VCG, González LS. Insuficiencia renal aguda en la preeclampsia-eclampsia. Nefrología Mexicana 1999;20(2):70.

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  11. Díaz de León PM, Espinosa MML, Briones GJC, López Llera MM, Briones VCG. Microangiopatía trombótica y hemólisis intravascular en la preeclampsia-eclampsia. Los eslabones perdidos en el síndrome de HELLP. Rev Asoc Mex Med Crit y Ter Int 1997;11(1):4-8.

  12. Díaz de León PM, Briones GJC, Espinosa MML. Microangiopatía trombótica y hemólisis intravascular en la preeclampsia-eclampsia. En: Aguirre Gas H. Actualidades médico-quirúrgicas. Editorial Prado México. 1999:147-153.

  13. Sibai BM, Villar MB, Mabie BC. Acute renal failure in hypertensive disorders of pregnancy. Am J Obstet Gynecol 1990;162:777-783.




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Med Crit. 2004;18