Risseeuw J J, de Vries J E, van Eyck J, Arabin B
Department of Perinatology, Sophia Ziekenhuis Zwolle, The Netherlands.
J Matern Fetal Med. 1999 Jan-Feb;8(1):32-5. doi: 10.1002/(SICI)1520-6661(199901/02)8:1<32::AID-MFM8>3.0.CO;2-S.
Liver rupture is a rare perinatal complication with high maternal mortality. In a multiparous woman with preeclampsia and Hemolysis, Elevated Liver enzymes, and Low Platelet count (HELLP) syndrome, liver rupture was suspected 10 h after a cesarean section. Laparotomy revealed liver rupture which was treated by perihepatic packing. Eventually, the mother was discharged with her baby 88 days after admission. Clinical symptoms, maternal hemodynamics by Swan-Ganz monitoring, and laboratory findings were not predictive until the emergency situation and the consecutive complications required multidisciplinary management.
肝破裂是一种罕见的围产期并发症，孕产妇死亡率很高。在一名患有先兆子痫和溶血、肝酶升高及血小板减少（HELLP）综合征的经产妇中，剖宫产术后10小时怀疑发生了肝破裂。剖腹探查发现肝破裂，采用肝周填塞法进行治疗。最终，母亲在入院88天后与婴儿一同出院。直到出现紧急情况以及后续并发症需要多学科管理时，临床症状、通过 Swan-Ganz 监测的母体血流动力学以及实验室检查结果才具有预测性。
