日本血吸虫病患者发生胎儿死亡的子痫前期

Preeclampsia with fetal death in a patient with schistosomiasis japonica.

作者信息

Obata N H, Kurauchi O, Kikkawa F, Yamada M, Fukuda Y, Itakura A

机构信息

Department of Obstetrics and Gynecology, Nagoya University School of Medicine, Japan.

出版信息

Arch Gynecol Obstet. 1998;261(2):101-4. doi: 10.1007/s004040050207.

DOI:10.1007/s004040050207

PMID:9544376

Abstract

A case of preeclampsia with fetal death at 32 weeks' gestation is reported. Liver examination of the patient revealed network patterns on ultrasonography and linear calcifications on unenhanced CT scans in the liver. These findings are typical of those of chronic schistosomal infection. Indeed, liver biopsy specimens showed eggs of schistosoma japonicum. We diagnosed her case as preeclampsia with liver cirrhosis due to chronic schistosomiasis japonica. Schistosomal placentitis may have been present and may have contributed to preeclampsia and fetal death.

摘要

报告了一例妊娠32周时发生胎儿死亡的子痫前期病例。对该患者的肝脏检查发现，超声检查显示肝脏有网状图案，未增强CT扫描显示肝脏有线性钙化。这些发现是慢性血吸虫感染的典型表现。实际上，肝脏活检标本显示有日本血吸虫卵。我们将她的病例诊断为慢性日本血吸虫病所致肝硬化合并子痫前期。可能存在血吸虫胎盘炎，这可能导致了子痫前期和胎儿死亡。