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首页> 外文期刊>The journal of maternal-fetal & neonatal medicine >Twin pregnancy after kidney transplantation: What's on? A case report and review of literature
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Twin pregnancy after kidney transplantation: What's on? A case report and review of literature

机译：肾脏移植后的双胎妊娠：怎么回事？病例报告及文献复习

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Objective: To describe the maternal and neonatal outcome of a twin pregnancy in a renal transplant recipient patient and reviewe the current literature on this theme. Methods: A case of 27 years old woman with a twin pregnancy arisen spontaneously in a renal transplant recipient from living donor characterized by an episode of slight anemia, mild hypertension, and a subsequent optimal maternaleonatal outcome. During admission, the patient was treated with iron therapy, nifedipine, and methyldopa due to anemia and hypertension episodes. Strict monitoring of patient's blood and urinary parameters, ultrasound fetues evaluation, and fetal lung maturity induction was performed. Results: Both anemia and hypertension were controlled through pharmacological intervention. During the second admission, the serum creatinine was 185 mmol/L and urine examination showed a proteinuria of 0.3 g/L. Ultrasound evaluation showed fetal wellness for both twin. Patient underwent caesarean section and gave birth to two healthy babies. Conclusions: It is necessary to define more strict criteria for the management of women with twin pregnancy and a history of renal transplantation to ensure the better maternal and neonatal outcome.
机译：目的：描述肾移植受者患者双胎妊娠的母亲和新生儿结局，并复习有关该主题的最新文献。方法：一例来自活体供体的肾移植受者自发出现双胎妊娠的27岁妇女，其特征为轻度贫血，轻度高血压以及随后的最佳母体/新生儿结局。入院期间，由于贫血和高血压发作，患者接受了铁疗法，硝苯地平和甲基多巴的治疗。严格监测患者的血液和尿液参数，超声胎儿评估和胎儿肺成熟诱导。结果：贫血和高血压均通过药理干预得以控制。第二次入院时，血清肌酐为185 mmol / L，尿液检查显示蛋白尿为0.3 g / L。超声评估显示两个双胞胎的胎儿健康状况。患者进行了剖腹产并生了两个健康的婴儿。结论：有必要为双胎妊娠和肾移植史定义更严格的治疗标准，以确保更好的母婴结局。

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