Aggarwal N, Sawnhey H, Suril V, Vasishta K, Jha M, Dhiman R K
Department of Obstetrics and Gynaecology, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
Aust N Z J Obstet Gynaecol. 1999 Nov;39(4):503-6. doi: 10.1111/j.1479-828x.1999.tb03145.x.
Pregnancy in patients with cirrhosis of the liver is uncommon. We reviewed 9 pregnancies in 7 patients with cirrhosis. One patient conceived within 1 month of diagnosis and in another the disease was diagnosed during the index pregnancy. Four patients has associated portal hypertension and 1 of them conceived after lienorenal shunt. Complications associated with these pregnancies were jaundice (1) jaundice plus ascites (2) and gastrointestinal bleeding (1). In 2 patients endoscopic sclerotherapy was done during the index pregnancy. The incidence of preterm delivery was 50% (4 of 8) and the majority (75%) occurred in pregnancies where associated complications were present. There was 1 maternal death in the postpartum period due to fulminant hepatic failure.
肝硬化患者怀孕并不常见。我们回顾了7例肝硬化患者的9次妊娠情况。1例患者在确诊后1个月内怀孕，另1例患者在本次妊娠期间被诊断出患有该病。4例患者伴有门静脉高压，其中1例在脾肾分流术后怀孕。这些妊娠相关的并发症包括黄疸（1例）、黄疸加腹水（2例）和胃肠道出血（1例）。2例患者在本次妊娠期间接受了内镜硬化治疗。早产发生率为50%（8例中的4例），大多数（75%）发生在伴有相关并发症的妊娠中。产后有1例产妇因暴发性肝衰竭死亡。
