Restellini S, Martinez de Tejada B, Spahr L, Giostra E
Service de gastroentérologie et hépatologie, Département des spécialités de médecine, HUG, 1211 Genève 14.
Rev Med Suisse. 2013 Sep 4;9(396):1577-80, 1582-3.
Liver tests abnormalities during pregnancy should encourage the clinician to seek liver diseases of pregnancy. The liver diseases of pregnancy are those proper to pregnancy including hyperemesis gravidarum, intrahepatic cholestasis of pregnancy, all the "hypertensive" related diseases and acute fatty liver of pregnancy. These pathologies can involve the vital prognosis of the mother and the child. An adequate management reduces maternal-fetal complications. Close monitoring of pregnancy with sometimes induction of labour and verification of the normalization of liver tests after childbirth are essential.
孕期肝功能检查异常应促使临床医生排查妊娠相关肝病。妊娠相关肝病是指妊娠特有的疾病,包括妊娠剧吐、妊娠期肝内胆汁淤积症、所有“高血压”相关疾病以及妊娠急性脂肪肝。这些病症可能影响母婴的生命预后。恰当的处理可减少母胎并发症。密切监测孕期情况,有时需引产,并在产后核实肝功能检查是否恢复正常,这些至关重要。