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妊娠期肝内胆汁淤积症临床管理指南

Clinical Management Guidelines for Intrahepatic Cholestasis of Pregnancy.

作者信息

Yu Xinyang, Yang Huixia, Qi Hongbo

机构信息

Department of Obstetrics, The First Affiliated Hospital of Chongqing Medical University, Chongqing 400016, China.

Department of Obstetrics and Gynecology, Peking University First Hospital, Beijing 100034, China.

出版信息

Matern Fetal Med. 2024 Jan 10;6(1):13-22. doi: 10.1097/FM9.0000000000000207. eCollection 2024 Jan.

Abstract

Intrahepatic cholestasis of pregnancy (ICP) is a significant gestational complication in late pregnancy, potentially leading to severe perinatal complications such as intrauterine fetal demise and preterm birth. The Obstetrics Group of the Gynecology and Obstetrics Branch and the Perinatal Medicine Branch of the Chinese Medical Association organized a panel of domestic experts to deliberate and propose recommendations based on domestic and international guidelines, recent evidence-based medical evidence about key clinical issues including risk factors, clinical manifestations, perinatal outcomes, diagnosis, severity grading, maternal and fetal monitoring, treatment methods, timing, and methods of pregnancy termination, and postpartum follow-up for ICP, with the aim to guide its clinical diagnosis, treatment, and management.

摘要

妊娠期肝内胆汁淤积症(ICP)是妊娠晚期一种严重的妊娠并发症,可能导致严重的围产期并发症,如胎儿宫内死亡和早产。中华医学会妇产科学分会产科学组和围产医学分会组织国内专家小组,根据国内外指南以及近期关于ICP危险因素、临床表现、围产期结局、诊断、严重程度分级、母胎监测、治疗方法、时机、终止妊娠方式及产后随访等关键临床问题的循证医学证据进行研讨并提出建议,旨在指导其临床诊断、治疗及管理。

相似文献

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Clinical Management Guidelines for Intrahepatic Cholestasis of Pregnancy.妊娠期肝内胆汁淤积症临床管理指南
Matern Fetal Med. 2024 Jan 10;6(1):13-22. doi: 10.1097/FM9.0000000000000207. eCollection 2024 Jan.

引用本文的文献

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Intrahepatic cholestasis of pregnancy.妊娠期肝内胆汁淤积症
Nat Rev Dis Primers. 2025 Jul 24;11(1):51. doi: 10.1038/s41572-025-00633-2.

本文引用的文献

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Intrahepatic cholestasis of pregnancy: risk factors for severe disease.妊娠肝内胆汁淤积症:严重疾病的危险因素
J Matern Fetal Neonatal Med. 2022 Dec;35(25):8566-8570. doi: 10.1080/14767058.2021.1988924. Epub 2021 Oct 10.

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