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妊娠期肝血肿及破裂

Liver hematoma and rupture in pregnancy.

作者信息

Ralston S J, Schwaitzberg S D

机构信息

Department of Obstetrics & Gynecology and Surgery, New England Medical Center, Tufts University School of Medicine, Boston, MA, USA.

出版信息

Semin Perinatol. 1998 Apr;22(2):141-8. doi: 10.1016/s0146-0005(98)80046-3.

DOI:10.1016/s0146-0005(98)80046-3
PMID:9638908
Abstract

Liver hematoma and rupture is a rare but devastating complication of pregnancy. The majority of cases have been associated with severe preeclampsia, but unlike typical preeclampsia, it is a disease of older, multiparous patients. Although there are predictable findings on liver pathology, the underlying pathophysiology is poorly understood. Early recognition and prompt surgical intervention are crucial to reduce the high fetal and maternal mortality rate associated with this disease.

摘要

肝血肿和破裂是妊娠罕见但严重的并发症。大多数病例与重度子痫前期有关,但与典型子痫前期不同的是,它是一种发生于年龄较大、经产妇的疾病。尽管肝脏病理学有可预测的表现,但其潜在的病理生理学仍知之甚少。早期识别和及时的手术干预对于降低与该疾病相关的高胎儿和孕产妇死亡率至关重要。

相似文献

1
Liver hematoma and rupture in pregnancy.妊娠期肝血肿及破裂
Semin Perinatol. 1998 Apr;22(2):141-8. doi: 10.1016/s0146-0005(98)80046-3.
2
[The rupture of a hepatic subcapsular hematoma during pregnancy: a report of 2 cases].[妊娠期肝包膜下血肿破裂:2例报告]
Rev Chil Obstet Ginecol. 1991;56(6):439-44; discussion 444-5.
3
Modified ISTH pregnancy-specific DIC score in parturients with liver rupture: population-based case series.肝破裂产妇改良的国际血栓与止血学会(ISTH)妊娠特异性弥散性血管内凝血(DIC)评分:基于人群的病例系列研究
J Matern Fetal Neonatal Med. 2019 Aug;32(15):2517-2523. doi: 10.1080/14767058.2018.1439469. Epub 2018 Feb 21.
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[HELLP syndrome complicated by liver rupture].[伴有肝破裂的HELLP综合征]
Ginekol Pol. 2005 Nov;76(11):910-2.
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Spontaneous rupture of the liver following a normal pregnancy and delivery.正常妊娠和分娩后肝脏自发性破裂。
Ir Med J. 2005 Jan;98(1):27-8.
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Hepatic disease and pregnancy: an overview of diagnosis and management.肝病与妊娠:诊断与管理概述
Crit Care Med. 2005 Oct;33(10 Suppl):S332-9. doi: 10.1097/01.ccm.0000182555.39644.7f.
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"Hepatic rupture in preeclampsia and HELLP syndrome: A catastrophic presentation".子痫前期和 HELLP 综合征中的肝脏破裂:灾难性表现。
Taiwan J Obstet Gynecol. 2020 Sep;59(5):643-651. doi: 10.1016/j.tjog.2020.07.003.
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[Spontaneous hepatic haematoma in a pregnant woman during labour].
An Sist Sanit Navar. 2017 Aug 31;40(2):295-297. doi: 10.23938/ASSN.0022.
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Ruptured subcapsular liver hematoma and pregnancy: a rare complication of severe preeclampsia: a report of a case discovered fortuitously at the Maternity Teaching Hospital of Cocody.肝包膜下血肿破裂与妊娠:重度子痫前期的一种罕见并发症:科科迪妇产教学医院偶然发现的一例报告
Clin Exp Obstet Gynecol. 2012;39(4):550-2.
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Rupture of the liver associated with pregnancy: a review of the literature and report of 2 cases.妊娠合并肝破裂:文献综述及2例报告
Obstet Gynecol Surv. 1976 Nov;31(11):763-73. doi: 10.1097/00006254-197611000-00001.

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Spontaneous rupture of the liver in a patient with chronic hepatitis B and D.一名慢性乙型和丁型肝炎患者发生自发性肝破裂。
World J Gastroenterol. 2007 Aug 28;13(32):4405-7. doi: 10.3748/wjg.v13.i32.4405.