急性妊娠脂肪肝与妊娠暴发型肝炎的临床病理分析  

Clinical Pathology Analyses of Acute Fatty Liver and Fulminant Hepatitis during Pregnancy

作　　者：郭雁宾 倪承瑞 孟庆华 刘德恭 谢祖婉 孟忻[2] 郎振为[2] 肖桂兰[2] 

机构地区：[1]北京佑安医院临床科,100054 [2]北京佑安医院病理科,100054

出　　处：《天津医药》1993年第7期413-415,共3页Tianjin Medical Journal

摘　　要：对经病理证实的急性妊娠脂肪肝19例及妊娠暴发型肝炎7例进行了临床比较,指出,两者在病情进展的急缓、神志改变及肾功损害出现的早晚,DIC 发生的比率等方面之不同,是可以提供临床鉴别诊断线索的。尿胆红素阳性并不能排除急性妊娠脂肪肝。本文还对如何进一步提高妊娠脂肪肝的母婴存活率进行了讨论。This article clinically campared 19 cases of acute fatty liver of pregnancy with7 cases of fulminant hepatitis of pregnancy confirmed by pathology.The resultsshowed that there were many differences between two diseases:fast or slow develop-ment,early or late of consciousness change and damage of kidney function,occurrencerate of DIC,and provided clues for clinically distinguishing the diagnosis.Urinarybilirubin positive may not eliminate acute fatty liver of pregnancy.This article alsodiscussed how to increase mother-baby survival rate of fatty liver of pregnancy.

关 键 词：急性 脂肪肝 肝炎 妊娠并发症 诊断 

分 类 号：R714.250.4[医药卫生—妇产科学]