Jones C T, Birch C R, Poller L, Dymock I W
Gut. 1973 Nov;14(11):891-4. doi: 10.1136/gut.14.11.891.
A patient with viral hepatitis in the third trimester of pregnancy is described. She developed acute hepatic failure in the postpartum period which was associated with evidence of intravascular coagulation. Following therapy with heparin and fresh-frozen plasma, the patient made a dramatic recovery. Hepatitis developed during the puerperium may predispose to pathological intravascular coagulation and hepatocellular necrosis may thereby be perpetuated.
本文描述了一名妊娠晚期患病毒性肝炎的患者。她在产后出现急性肝衰竭,并伴有血管内凝血的证据。经过肝素和新鲜冷冻血浆治疗后,患者病情显著好转。产褥期发生的肝炎可能易引发病理性血管内凝血,进而可能使肝细胞坏死持续存在。