1. 중독임신중독증으로 인하여 초래된 급성신기능부전의 일례를 경험한 바 있어 보고하였다. 2. 입원후 첫 2-3일 간의 수분공급은 600+배설량의 원칙에 비하여 다소 과량을 공급함으로 인하여 조기에 폐수종을 초래하게 된 동기가 된 것으로 생각된다. 3. 환자는 7일째 tracheotomy를 시행한 후 극적인 호전을 보며 congestive heart failure의 위기를 모면하였다. 4. Rheomacrodex 투여로 신장순환을 촉진시키고 만족스러운 이뇨작용을 얻을 수 있었다. 5. 발병 6개월 후에는 신장기능의 완전 회복을 확인하였다. ... 자간증... 임신성고혈압....
The Case reported was 36 years old women who had eclampsia on delivery and developed acute renal failure. Therapy initially is directed toward the Control of water balance. The patient was tried to maintain on 600 cc of water plus the measured fluid loss. Tracheotomy was performed because patient was unable to expectorate her coughing sputum on 5 th date of admission. Hyperkalemia accompamy critical event. During diuretic phase, patient was replaced the adequate amount of sodium, potassium and water. Repeated blood and uriuary biochemistry returued normal level on 27th of postpartum date but low urine specific gravity which was restored completely on 5 months later.