Castiel J, Adam J F, Marpeau L, Grange J D, Lienhart A
Ann Fr Anesth Reanim. 1986;5(5):524-6. doi: 10.1016/S0750-7658(86)80039-9.
A case is reported of acute fatty liver of pregnancy with maternal and foetal survival inspite of jaundice, encephalopathy, renal failure, gastro-intestinal haemorrhage and serious coagulation problems. The acute fatty liver is a rare disease of unknown aetiology which occurs during the third trimester of pregnancy. Early diagnosis based on liver biopsy obtained by the transjugular route, immediate delivery of the foetus and intensive care improve an otherwise fatal prognosis.
报告了一例妊娠急性脂肪肝病例,尽管出现了黄疸、肝性脑病、肾衰竭、胃肠道出血和严重的凝血问题,但母婴均存活。妊娠急性脂肪肝是一种病因不明的罕见疾病,发生于妊娠晚期。通过经颈静脉途径进行肝活检进行早期诊断、立即分娩胎儿并进行重症监护可改善原本致命的预后。