Cappell Mitchell S
Division of Gastroenterology, Department of Medicine, William Beaumont Hospital, MOB 233, 3535 West Thirteen Mile Road, Royal Oak, MI 48073, USA.
Med Clin North Am. 2008 Jul;92(4):717-37, vii. doi: 10.1016/j.mcna.2008.03.003.
Hepatic, biliary, and pancreatic disorders are often complex and clinically challenging during pregnancy. Hepatic disorders can affect the pregnancy and vice versa. The differential diagnosis of hepatic diseases is particularly broad during pregnancy because it includes disorders related to, and unrelated to, pregnancy. This article discusses the physiologic effects of pregnancy on liver function; the differential diagnosis of hepatic findings during pregnancy; modifications of abdominal imaging and hepatobiliary endoscopic procedures during pregnancy; and the medical and obstetric management of hepatic, biliary, and pancreatic diseases that are mildly to moderately affected by pregnancy.
肝脏、胆道和胰腺疾病在孕期往往较为复杂，临床上也颇具挑战。肝脏疾病可影响妊娠，反之亦然。孕期肝脏疾病的鉴别诊断范围特别广泛，因为它包括与妊娠相关和无关的疾病。本文讨论了妊娠对肝功能的生理影响；孕期肝脏检查结果的鉴别诊断；孕期腹部影像学和肝胆内镜检查的调整；以及受妊娠轻度至中度影响的肝脏、胆道和胰腺疾病的内科及产科管理。
