妊娠期重症肝炎的防治  

Prevention and treatment of severe hepatitis in pregnancy

作　　者：韩国荣[1] 许传露[2] Han Guorong Xu Chuanlu

机构地区：[1]东南大学附属第二医院南京市第二医院妇产科,南京市210003 [2]同济大学附属上海市第一妇婴保健院妇产科,上海200400

出　　处：《中华产科急救电子杂志》2017年第2期92-97,共6页Chinese Journal of Obstetric Emergency（Electronic Edition）

基　　金：国家自然基金面上项目(81370583);江苏省临床重大专项(BL2014006)

摘　　要：重症肝炎是指肝细胞在短期内大量坏死或严重变性所致的肝衰竭。该病特点为发展迅速、病情严重、并发症多、病死率高。妊娠合并重症肝炎的治疗强调早期识别、及时转诊、严密监测、孕期抗病毒、多学科协作等综合治疗,同时积极防治并发症,适时终止妊娠,以降低孕产妇与围产儿的病死率。Severe hepatitis refers that lots of liver cells occur necrosis or serious degeneration in a short term,which cause liver failure. The characteristics of severe hepatitis are rapid aggressive clinical course,severe condition, many complications and high fatality. To reduce maternal and perinatal mortality,the treatments of sever hepatitis not only emphasize on early recognition,timely referral,close monitoring, antiviral treatment and interdisciplinary cooperation, but also include prevention the complications actively and terminating pregnancy timely.

关 键 词：妊娠 高危 肝炎 肝性脑病 肝肾综合征 抗病毒药 

分 类 号：R714.255[医药卫生—妇产科学]