Ekberg H, Leyon J, Jeppsson B, Kristersson S, Lunderquist A, Tranberg K G, Holmin T
Ann Chir Gynaecol. 1984;73(6):350-3.
Hepatic rupture during pregnancy is related to toxaemia and is most often fatal. Epigastric pain and signs of intra-abdominal bleeding are the most common presenting symptoms. In previous reports liver surgery has been considered the method of choice in all patients. However, we have successfully treated a patient with bilateral hepatic rupture and intra-thoracic bleeding with termination of the pregnancy but otherwise conservative measures. The importance of early diagnosis, by ultrasonography and/or explorative laparotomy, and early termination of the pregnancy is stressed. Also, it is suggested that liver surgery should be individually tailored and that it is preferably avoided in some patients.
妊娠期肝破裂与毒血症有关，且通常是致命的。上腹部疼痛和腹腔内出血迹象是最常见的症状。在以往的报道中，肝脏手术被认为是所有患者的首选治疗方法。然而，我们成功地治疗了一名双侧肝破裂并伴有胸腔内出血的患者，采用的方法是终止妊娠，其他则采取保守措施。强调了通过超声检查和/或剖腹探查进行早期诊断以及早期终止妊娠的重要性。此外，建议肝脏手术应因人而异，在某些患者中最好避免进行。
