妊娠急性脂肪肝的临床诊治分析  

Clinical analysis of diagnosis and treatment on acute fatty liver in the pregnant patients.

作　　者：丁俊蓉[1] 许华强[1] 张丽敏[1] 马德莉[1] 

机构地区：[1]山东省潍坊市妇幼保健院,山东潍坊261011

出　　处：《中国优生与遗传杂志》2010年第3期95-96,共2页Chinese Journal of Birth Health & Heredity

摘　　要：目的探讨妊娠急性脂肪肝的临床诊断和治疗方法。方法对我院收治的30例妊娠急性脂肪肝患者的临床资料进行回顾性分析。结果30例妊娠急性脂肪肝患者均发生于妊娠晚期,有明显的临床症状和实验室检查特征。剖宫产终止妊娠加内科综合支持治疗能降低产后出血发生率、孕产妇死亡率、围产儿死亡率、新生儿窒息发生率。结论结合临床症状、实验室检查特征、肝脏B超、CT检查等,力争在发病1周内明确诊断,并立即行剖宫产术终止妊娠、积极内科综合支持治疗是改善母儿预后的关键。Objective： To study the clinical diagnosis and treatment of acute fatty liver of pregnancy （AFLP）. Methods： The clinical data of 30 cases of AFLP were reviewed retrospectively. Results ： All 30 cases were hospitalized in late pregnancy with various clinical symptoms and physical signs. Lab examinations were also performed. The comprehensive therapies of termination of pregnancy by cesarean section plus medical supportive treatment can reduce the rate of postpartum hemorrhage, maternal mortality, perinatal mortality, and asphyxia in newborns significantly. Conclusion： Early diagnosis, termination of pregnancy by cesarean section as soon as possible and a comprehensive therapy are the key to improve the mother and newborn＇s prognosis.

关 键 词：妊娠并发症 急性脂肪肝 

分 类 号：R714.25[医药卫生—妇产科学]