中国社区医师
中國社區醫師
중국사구의사
Chinese Community Doctors
2014年
30期
91-92
,共2页
妊娠%重型戊型肝炎%临床特点
妊娠%重型戊型肝炎%臨床特點
임신%중형무형간염%림상특점
Pregnancy%Severe hepatitis%Clinical characteristics
目的：探讨妊娠合并重型戊型肝炎临床特点。方法：2004年1月-2010年1月收治妊娠合并重型戊型肝炎患者32例，对其临床资料(实验室检查、诊断、治疗及预后)进行回顾性分析。结果：32例患者中存活率43.75%，死亡率56.25%。26例妊娠晚期产妇中新生儿存活率11.54%，死亡率88.46%(其中死胎率69.23%)；6例产褥期产妇中新生儿存活率100%。另外，妊娠合并重型戊型肝炎主要表现为黄疸、肝脏肿大等。结论：妊娠合并重型戊型肝炎预后效果较差，病死率较高，为此需早期准确诊断及积极治疗，以保护母婴安全。
目的：探討妊娠閤併重型戊型肝炎臨床特點。方法：2004年1月-2010年1月收治妊娠閤併重型戊型肝炎患者32例，對其臨床資料(實驗室檢查、診斷、治療及預後)進行迴顧性分析。結果：32例患者中存活率43.75%，死亡率56.25%。26例妊娠晚期產婦中新生兒存活率11.54%，死亡率88.46%(其中死胎率69.23%)；6例產褥期產婦中新生兒存活率100%。另外，妊娠閤併重型戊型肝炎主要錶現為黃疸、肝髒腫大等。結論：妊娠閤併重型戊型肝炎預後效果較差，病死率較高，為此需早期準確診斷及積極治療，以保護母嬰安全。
목적：탐토임신합병중형무형간염림상특점。방법：2004년1월-2010년1월수치임신합병중형무형간염환자32례，대기림상자료(실험실검사、진단、치료급예후)진행회고성분석。결과：32례환자중존활솔43.75%，사망솔56.25%。26례임신만기산부중신생인존활솔11.54%，사망솔88.46%(기중사태솔69.23%)；6례산욕기산부중신생인존활솔100%。령외，임신합병중형무형간염주요표현위황달、간장종대등。결론：임신합병중형무형간염예후효과교차，병사솔교고，위차수조기준학진단급적겁치료，이보호모영안전。
Objective:To investigate the clinical characteristics of pregnancy women with severe hepatitis E.Methods:32 pregnancy women with severe hepatitis E were selected from January 2004 to January 2010.We retrospectively analyzed their clinical data(laboratory examination,diagnosis,treatment and prognosis).Results:Among 32 patients,the survival rate was 43.75%;the mortality rate was 56.25%.Neonatal survival rate of 26 late pregnancy maternal was 11.54%;the mortality rate was 88.46%(among which the stillbirth rate was 69.23% ).Neonatal survival rate in 6 cases of puerperal women was 100% .In addition, pregnancy complicated with severe hepatitis E was mainly performenced jaundice,liver enlargement.Conclusion:Pregnancy complicated severe hepatitis E always has poor prognosis,and the mortality rate is high,so it is necessary to accurate diagnosis and aggressive treatment early,in order to protect the safety of mother and infant.
