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妊娠急性脂肪肝——尽管伴有严重先兆子痫、昏迷和凝血病仍存活

Acute fatty liver of pregnancy--survival despite associated severe preeclampsia, coma and coagulopathy.

作者信息

Cheng C Y

出版信息

Aust N Z J Obstet Gynaecol. 1983 May;23(2):120-2. doi: 10.1111/j.1479-828x.1983.tb00179.x.

DOI:10.1111/j.1479-828x.1983.tb00179.x
PMID:6578776
Abstract

Acute fatty liver of pregnancy is the least common and most serious cause of jaundice of pregnancy. It is rare, fewer than 100 cases having been reported (Koff, 1981). There is a high probability that it is frequently misdiagnosed and categorized vaguely as some form of variant of 'toxaemia of pregnancy' which is not surprising because of its late-pregnancy onset and the production of multi-system manifestations (Holzback, 1976). In the case reported here, there was associated severe preeclampsia with fetal intrauterine death but maternal survival.

摘要

妊娠急性脂肪肝是妊娠黄疸最不常见且最严重的病因。它很罕见,报道的病例不足100例(科夫,1981年)。极有可能经常被误诊并模糊地归类为某种形式的“妊娠中毒症”变体,这并不奇怪,因为它在妊娠晚期发病并产生多系统表现(霍尔兹巴克,1976年)。在本文报道的病例中,伴有严重先兆子痫,胎儿宫内死亡,但母亲存活。

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