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Avaliação epidemiológica da ocorrência de insuficiência renal aguda na síndrome HELLP em um Hospital Geral no Oeste do Paraná / Epidemiological evaluation of acute renal failure occurrence in HELLP syndrome in General Hospital in West Paraná
Peres, Luis Alberto Batista; Katarinhuk, Blane Soraya Lontra Assed Caires de Souza.
  • Peres, Luis Alberto Batista; UNIOESTE. Disciplina de Nefrologia. BR
  • Katarinhuk, Blane Soraya Lontra Assed Caires de Souza; Hospital Universitário do Oeste do Paraná. Departamento de Ginecologia e Obstetrícia. BR
J. bras. nefrol ; 28(3): 139-143, set. 2006. tab
Article in Portuguese | LILACS | ID: lil-608333
RESUMO

Introdução:

A síndrome HELLP é a mais frequente causa de insuficiência renal aguda gestacional e apresenta uma alta morbimortalidade maternal eperinatal.

Métodos:

Pacientes com síndrome HELLP foram identificadas em um estudo retrospectivo entre julho de 2002 e julho de 2005 no HospitalUniversitário do Oeste do Paraná.

Resultados:

Síndrome HELLP ocorreu em 12 casos (0,2%) de um total de 6000 partos. Insuficiência renal aguda foi diagnosticada em oito pacientes (66,7%), sendo que uma necessitou de diálise e evoluiu para óbito. Quanto aos recém-nascidos, o peso médio foi 1500+ 113 g, variando de 200 a 2940 g. Membrana hialina ocorreu em 25% dos casos; a taxa de mortalidade foi de 33,4%.

Conclusões:

Insuficiência renalaguda é freqüente na síndrome HELLP e contribui para a morbimortalidade materno-fetal.
ABSTRACT

Introduction:

HELLP syndrome (HS) is the most frequent cause of obstetric acute renal failure and has a high maternal and perinatal morbidity and mortality rate.

Methods:

Patients with HELLP syndrome were identified in a retrospective study between July 2002 and July 2005 at the Hospital Universitário do Oeste do Paraná.

Results:

HS was diagnosed in twelve (0.2%) patients of 6000 deliveries. Acute renal failure (ARF) was found in eight (66.7%) patients with HS. Dialysis was required in one patient who had an unfavorable course. The mean body weight of the newborns was 1.500 + 113 g (200 to 2.940 g).The frequency of hyaline membrane disease was 25%; the mortalility rate was 33.4%.

Conclusions:

Acute renal failure is frequent in HS and can beassociated with higher maternal and perinatal morbidity and mortality.
Subject(s)
Full text: Available Index: LILACS (Americas) Main subject: HELLP Syndrome / Hypertension, Pregnancy-Induced / Acute Kidney Injury Type of study: Observational study / Prognostic study / Risk factors / Screening study Limits: Female / Humans / Pregnancy Language: Portuguese Journal: J. bras. nefrol Journal subject: Nephrology Year: 2006 Type: Article Affiliation country: Brazil Institution/Affiliation country: Hospital Universitário do Oeste do Paraná/BR / UNIOESTE/BR

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Full text: Available Index: LILACS (Americas) Main subject: HELLP Syndrome / Hypertension, Pregnancy-Induced / Acute Kidney Injury Type of study: Observational study / Prognostic study / Risk factors / Screening study Limits: Female / Humans / Pregnancy Language: Portuguese Journal: J. bras. nefrol Journal subject: Nephrology Year: 2006 Type: Article Affiliation country: Brazil Institution/Affiliation country: Hospital Universitário do Oeste do Paraná/BR / UNIOESTE/BR