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妊娠期原发性胆汁性胆管炎与慢性动脉高血压

Primary Biliary Cholangitis and Chronic Arterial Hypertension in Pregnancy.

作者信息

Santos Mariana O, Marques Inês, Barata Carlos, Almeida Maria Céu

机构信息

Department of Obstetrics and Gynecology, Unidade Local de Saúde (ULS) Coimbra, Coimbra, PRT.

Department of Obstetrics, Maternidade Bissaya Barreto, Unidade Local de Saúde (ULS) Coimbra, Coimbra, PRT.

出版信息

Cureus. 2024 Sep 29;16(9):e70453. doi: 10.7759/cureus.70453. eCollection 2024 Sep.

Abstract

This case report presents a woman with a history of adverse obstetric outcomes: two pregnancies complicated by preeclampsia, resulting in a medical termination in the first and fetal demise in the second. Prior to a subsequent pregnancy, she underwent investigations for hypertension, thrombophilia, and autoimmune diseases. These investigations led to a probable diagnosis of primary biliary cholangitis (PBC) and chronic hypertension (CH). She was medicated for both conditions and closely monitored at Unidade Local de Saúde (ULS) Coimbra. Due to severe preeclampsia, she underwent an emergency cesarean section at 33 weeks, delivering a live male infant weighing 1635 g.

摘要

本病例报告介绍了一位有不良产科结局病史的女性

两次妊娠并发子痫前期,第一次妊娠因子痫前期而进行了人工流产,第二次妊娠则导致胎儿死亡。在随后一次怀孕前,她接受了高血压、血栓形成倾向和自身免疫性疾病的检查。这些检查结果可能诊断为原发性胆汁性胆管炎(PBC)和慢性高血压(CH)。她针对这两种病症接受了药物治疗,并在科英布拉当地卫生单位(ULS)接受密切监测。由于重度子痫前期,她在孕33周时接受了急诊剖宫产,产下一名体重1635克的男婴。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f614/11521394/17d140491372/cureus-0016-00000070453-i01.jpg

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