近年来对产后急性肾功能衰竭伴有微血管溶血性贫血的临床综合征已有报道,此征与妊娠毒血症、产科并发症及系统疾患均无关。此征普遍的结果是急性致死或慢性进行性肾疾患;Clarkson等报道死亡率占83%。本文报道1例已经确诊为产后急性肾功能衰竭,微血管溶血性贫血及血管内凝血伴肾小动脉血栓形成。本例采用了肝素治疗使病人康复。 In recent years, clinical syndromes of postpartum acute renal failure with microvascular hemolytic anemia have been reported. This syndrome has no relation with pregnancy induced sepsis, obstetric complications and systemic diseases. The common result is acute or chronic progressive kidney disease; Clarkson et al. Reported a mortality rate of 83%. This article reports one case has been diagnosed as postpartum acute renal failure, microvascular hemolytic anemia and intravascular coagulation with renal arterial thrombosis. In this case, heparin is used to rehabilitate the patient.