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子痫前期中的肝破裂:诊断性影像学的作用

Hepatic rupture in preeclampsia: the role of diagnostic imaging.

作者信息

Winer-Muram H T, Muram D, Salazar J, Massie J D

出版信息

J Can Assoc Radiol. 1985 Mar;36(1):34-6.

PMID:3884619
Abstract

The diagnosis of hepatic rupture in patients with pregnancy-induced hypertension (preeclampsia and eclampsia) is rarely made preoperatively. Diagnostic imaging can be utilized in some patients to confirm the preoperative diagnosis. Since hematoma formation precedes hepatic rupture, then, when diagnostic modalities such as sonography and computed tomography identify patients with hematomas, these patients are at risk of rupture, and should be hospitalized until the hematomas resolve.

摘要

妊娠高血压(先兆子痫和子痫)患者肝破裂的诊断在术前很少能做出。一些患者可利用诊断性影像学检查来确诊术前诊断。由于血肿形成先于肝破裂,因此,当超声和计算机断层扫描等诊断方法识别出有血肿的患者时,这些患者有破裂风险,应住院直至血肿消退。

相似文献

1
Hepatic rupture in preeclampsia: the role of diagnostic imaging.子痫前期中的肝破裂:诊断性影像学的作用
J Can Assoc Radiol. 1985 Mar;36(1):34-6.
2
Spontaneous ruptured subcapsular liver hematoma associated with pregnancy. A case report.妊娠相关的自发性破裂性肝包膜下血肿。病例报告。
J Reprod Med. 1996 Feb;41(2):125-8.
3
[Subcapsular liver hematoma, severe complication of pregnancy toxemia. A case report].[肝包膜下血肿,妊娠中毒症的严重并发症。病例报告]
Tunis Med. 2002 Apr;80(4):233-5.
4
[Subcapsular hematoma of the liver. Six cases and review of the literature].[肝包膜下血肿。6例报告及文献复习]
J Gynecol Obstet Biol Reprod (Paris). 1996;25(1):89-93.
5
Hepatic rupture secondary to pre-eclampsia--report of a case treated conservatively.子痫前期继发肝破裂——1例保守治疗病例报告
Ann Chir Gynaecol. 1984;73(6):350-3.
6
[Hemorrhagic hepatic lesions in toxemia of pregnancy].[妊娠中毒症中的出血性肝损害]
J Chir (Paris). 1986 Dec;123(12):742-5.
7
[Hepatic and splenic rupture associated with severe preeclampsia: a case report].[重度子痫前期伴肝脾破裂:一例报告]
Invest Clin. 2004 Mar;45(1):63-8.
8
Spontaneous rupture of the liver following a normal pregnancy and delivery.正常妊娠和分娩后肝脏自发性破裂。
Ir Med J. 2005 Jan;98(1):27-8.
9
[Spontaneous liver rupture in eclampsia].
Geburtshilfe Frauenheilkd. 1987 May;47(5):346-8. doi: 10.1055/s-2008-1035834.
10
[The rupture of a hepatic subcapsular hematoma during pregnancy: a report of 2 cases].[妊娠期肝包膜下血肿破裂:2例报告]
Rev Chil Obstet Ginecol. 1991;56(6):439-44; discussion 444-5.

引用本文的文献

1
Spontaneous rupture of hepatocellular carcinoma with haemoperitoneum: a rare condition in Western countries.肝细胞癌自发破裂伴血腹:西方国家的一种罕见情况。
HPB (Oxford). 2001;3(3):227-30. doi: 10.1080/136518201753242262.
2
[Subcapsular hematoma of the liver].[肝包膜下血肿]
Arch Gynecol Obstet. 1994;255 Suppl 2:S255-8. doi: 10.1007/BF02389239.