title: [Acute kidney insufficiency of obstetric origin. Experience at the Santo Tomas Hospital (1966-1981)].
abstract: The authors review 24 cases of acute renal failure of obstetric etiology occurred in Hospital Santo Tomás, which represents a frequency of 1.375/10,000, with a bimodal distribution and the main causes were toxemia of pregnancy and sepsis. All cases were of the oliguric type and a kidney biopsy was performed in 17 cases, revealing an acute tubular necrosis in 16 and a diffuse cortical necrosis in the other case. Two patients (8.3%) died and one did not received nephrology treatment as the other 23 patients. The fetal mortality was 37.5% and the Apgar was good in 2, fair in one and bad in 2. A 50% of the complications were infections and nine patients tolerated different surgical procedures after the installation of the acute renal failure. The follow-up of 12 patients shows no evidence of renal failure.
authors.affiliation: Servicio de Nefrología del Hospital Santo Tomás.
authors.forename: J H
authors.initials: JH
authors.lastname: Díaz
authors.forename: G
authors.initials: G
authors.lastname: de Gordón
authors.forename: L
authors.initials: L
authors.lastname: Hernández
authors.forename: R
authors.initials: R
authors.lastname: Medina
mesh_terms: D058186:Acute Kidney Injury / Q000453:epidemiology / Q000209:etiology* / Q000503:physiopathology; D000293:Adolescent; D000328:Adult; D005260:Female; D006761:Hospitals; D006801:Humans; D010176:Panama / Q000453:epidemiology; D011247:Pregnancy; D011248:Pregnancy Complications / Q000453:epidemiology / Q000209:etiology / Q000503:physiopathology
vernacular_title: Insuficiencia renal aguda de origen obstétrico. Experiencia en el Hospital Santo Tomás (1966-1981).