成功救治一名戊型肝炎严重感染并产后大出血的孕妇。
Successful rescuing a pregnant woman with severe hepatitis E infection and postpartum massive hemorrhage.
作者信息
Jia Zhan-Sheng, Xie Yu-Mei, Yin Guo-Wu, Di Jun-Rong, Guo Wei-Pin, Huang Chang-Xing, Bai Xue-Fang
机构信息
Center of Diagnosis and Treatment for Infectious Diseases of PLA, Tangdu Hospital, 1 Xinsi Road, Baqiao District, Xi'an 710038, Shaanxi Province, China.
出版信息
World J Gastroenterol. 2003 Mar;9(3):631-2. doi: 10.3748/wjg.v9.i3.631.
AIM
To sum up the experience of the successful therapy for the severe hepatitis of pregnant woman with postpartum massive hemorrhage.
METHODS
The advanced therapeutic methods including the bilateral uterine artery embolism, hemodialysis and artificial liver support therapy were performed with comprehensive medical treatments and the course of the successful rescuing the patient was analyzed.
RESULTS
Through the hospitalization of about two mouths the patient and her neonatus had gotten the best of care in our department and pediatric department separately. Both of them were discharged in good condition.
CONCLUSION
The key points for a successful therapy of the pregnant woman with severe hepatitis are termination of the pregnancy and the control of their various complications. It was suggested that the proper combination of these measures of modern therapy would race against time for renewing of hepatic and renal functions.
目的
总结成功救治产后大出血的重症肝炎孕妇的经验。
方法
采用包括双侧子宫动脉栓塞、血液透析及人工肝支持治疗等先进治疗方法，并结合综合内科治疗，分析成功救治该患者的过程。
结果
经过约两个月的住院治疗，患者及其新生儿分别在我科及儿科得到了最佳治疗。两人均康复出院。
结论
成功治疗重症肝炎孕妇的关键在于终止妊娠并控制各种并发症。建议合理联合这些现代治疗措施，争分夺秒恢复肝肾功能。
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