Pezet D, Lointier P, Faight R, Canis M, Fondrinier E, Halberstadt J, Bruhat M A, Chipponi J
Service de Chirurgie Générale et Digestive, C.H.G.E. Hôtel-Dieu, Clermont-Ferrand.
J Gynecol Obstet Biol Reprod (Paris). 1988;17(8):1059-61.
Spontaneous hepatic haemorrhage is a rare complication in pregnancy. It usually occurs in multiparous women who have toxaemia of pregnancy. We give a case history of a primigravid patient who was not toxemic. The hepatic haemorrhage presented as blood in the peritoneal cavity which in turn gave rise to abdominal pain with hypovolaemic shock. The surgical treatment consisted in removing the segment of the liver that had been bleeding. The physiopathology of hepatic haemorrhage as described in the literature shows that there was evidence of consumptive coagulopathy with coalescence of periportal areas of liver necrosis. Treatment therefore is that of hepatic trauma. Maternal mortality runs at 70%.
自发性肝出血是妊娠期间一种罕见的并发症。它通常发生在患有妊娠中毒症的经产妇身上。我们给出一例初产妇的病例史，该患者并无中毒症状。肝出血表现为腹腔内出血，进而引发腹痛并伴有低血容量性休克。手术治疗包括切除出血的肝段。文献中描述的肝出血病理生理学表明，存在消耗性凝血病以及肝门周围肝坏死区域融合的证据。因此，治疗方法与肝外伤相同。孕产妇死亡率为70%。
