Oney T, Weitzel H
Frauenklinik und Poliklinik im Klinikum Steglitz, Freien Universität Berlin.
Z Geburtshilfe Perinatol. 1990 Jul-Aug;194(4):145-52.
Liver disease in pregnancy represents a broad spectrum of disorders. Most of the common forms of acute and chronic liver disease occur during pregnancy and often present special difficulties in diagnosis and management. In addition, there is a group of hepatic disorders unique to pregnancy, which also must be identified appropriately. Rapid institution of therapy is important in preventing the unfavorable perinatal outcome and maternal mortality. The changes in liver function related to gestation will be reviewed initially. The major forms of hepatic disease specifically associated to pregnancy will be then described and the obstetrical management as well as the therapeutic modalities proposed.
妊娠期肝病涵盖了广泛的病症。大多数常见的急慢性肝病在孕期都会出现，并且在诊断和管理方面常常存在特殊困难。此外，还有一组妊娠特有的肝脏疾病，也必须进行恰当识别。迅速开展治疗对于预防不良围产期结局和孕产妇死亡至关重要。首先将回顾与妊娠相关的肝功能变化。随后将描述与妊娠具体相关的主要肝病形式，并提出产科管理及治疗方式。
