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22例妊娠期急性脂肪肝临床特征分析

宋倩华 王汉峰 王雁林 宋晓花

妇儿健康导刊2024,Vol.3Issue(10):59-62,4.
妇儿健康导刊2024,Vol.3Issue(10):59-62,4.

22例妊娠期急性脂肪肝临床特征分析

Analysis of clinical characteristics of 22 cases of acute fatty liver of pregnancy

宋倩华 1王汉峰 2王雁林 3宋晓花4

作者信息

  • 1. 滨州医学院第一临床医学院,山东滨州 256610
  • 2. 山东省邹平市妇幼保健院麻醉科,山东邹平 256200
  • 3. 滨州医学院附属医院生殖医学科,山东滨州 256610
  • 4. 山东省滨州市人民医院产科,山东滨州 256610
  • 折叠

摘要

Abstract

Objective To analyze the clinical characteristics of acute fatty liver of pregnancy(AFLP).Methods A total of 22 patients with AFLP admitted to Binzhou People's Hospital from January 2010 to September 2020 were selected,and the clinical characteristics of AFLP were analyzed.Results Among the 22 patients,16 cases had gastrointestinal symptoms,and all had different degrees of jaundice,14 cases had fibrinogen<1.5 g/L,7 cases had albumin<20 g/L,3 cases had hepatic encephalopathy,6 cases had renal failure,5 cases had multiple organ dysfunction syndrome,and 2 cases had intrauterine death.Conclusion Timely termination of pregnancy for AFLP patients,active prevention of disseminated intravascular coagulation,supplementation of clotting substances,timely transfusion and transfusion of blood products,blood replacement,and blood purification and other symptomatic treatment according to the condition are conducive to improving the prognosis of AFLP patients and fetuses.

关键词

妊娠期急性脂肪肝/诊断/对症治疗/预后

Key words

Acute fatty liver of pregnancy/Diagnosis/Symptomatic treatment/Prognosis

分类

医药卫生

引用本文复制引用

宋倩华,王汉峰,王雁林,宋晓花..22例妊娠期急性脂肪肝临床特征分析[J].妇儿健康导刊,2024,3(10):59-62,4.

基金项目

山东省医药卫生科技发展计划项目(202105020710). (202105020710)

妇儿健康导刊

2097-115X

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