摘要
目的探讨妊娠期急性脂肪肝(AFLP)的临床特点,以便早期诊断和及时治疗。方法对1998年1月至2008年1月收治的30例AFLP患者的临床资料进行回顾性分析。结果孕妇单胎24例,双胎6例;孕周32～38周,产妇治愈24例,死亡6例,死亡率为25%。36例围生儿中,存活26例,死亡10例,病死率为28%。结论早期诊断、对症治疗和及时终止妊娠有望提高妊娠期急性脂肪肝母儿的生存率。
Objective To explore the clinical feature of acute fatty liver of pregnancy （AFLP）, so as to provide guidance for early diagnosis and timely management. Methods Retrospective analysis was performed on the clinical data of 30 cases of AFLP in our hospital from January 1998 to January 2008. Results In 30 patients, 24 cases were with single birth, and 6 cases were with bigeminal; the gestational time was 32 to 38 weeks; twenty-four cases were cured, and 6 cases ended with death; the mortality rate was 20%. In 32 neonates, 22 cases survived and 22 cases died; the mortality rate was 31%. Conclusion Early diagnosis, symptomatic treatment and timely termination of pregnancy contribute to improvement of the survival rate of mothers and neonates in acute fatty liver of pregnancy.
出处
《检验医学与临床》
CAS
2009年第5期345-346,共2页
Laboratory Medicine and Clinic
关键词
妊娠并发症
脂肪肝
诊断
pregnancy complications
acute fatty liver
diagnosis
