本文研究了妊娠对肾脏病患者的肾功能影响,并提出测定血肌酐含量为终止妊娠的指征。作者收集37例肾脏病患者,共44次妊娠,其中包括自然流产、治疗性流产和早产。详细查阅孕前,孕期和产后门诊记录,包括病史、体检、尿分析、血肌酐定量,24小时尿蛋白量、两次尿培养,最近一次静脉肾盂造影和部份肾脏活检。 This article examines the impact of pregnancy on renal function in patients with kidney disease and proposes the determination of serum creatinine as an indication of termination of pregnancy. The authors collected 37 cases of kidney disease, a total of 44 pregnancies, including spontaneous abortion, therapeutic abortion and premature delivery. Check out pre-pregnancy, post-pregnancy and post-pregnancy clinic records, including medical history, physical examination, urinalysis, quantitative serum creatinine, 24-hour urinary protein, two urine cultures, the latest intravenous pyelography and partial renal biopsy.