Golan A, White R G
S Afr Med J. 1979 Jul 28;56(4):133-6.
A resume of the aetiology, precipitating factors, pathology and management of spontaneous rupture of the liver in pregnancy, with a report of 5 cases, is presented. Misdiagnosis and late treatment contribute to the high mortality rate. Pre-operative diagnosis is very rare despite the fact that this is a diagnosable syndrome in pregnant multiparas with evidence of pre-eclampsia or eclampsia, and right-sided hypochondrial or epigastric pain which rapidly progresses to peripheral vascular collapse, often with signs of intraperitoneal haemorrhage. An awareness of this syndrome and early active surgical management constitute the best and only chance of survival for these patients.
本文介绍了妊娠合并肝脏自发性破裂的病因、诱发因素、病理及处理方法，并报告了5例病例。误诊和治疗延迟导致了高死亡率。尽管妊娠合并肝脏自发性破裂在多胎妊娠且有子痫前期或子痫证据、右侧季肋部或上腹部疼痛并迅速发展为周围血管塌陷（常伴有腹腔内出血体征）的患者中是一种可诊断的综合征，但术前诊断却非常罕见。认识到这种综合征并早期积极进行手术治疗是这些患者生存的最佳也是唯一机会。
