Wijesinghe P S, Gunasekera P C, Sirisena J
Department of Obstetrics and Gynaecology, Faculty of Medicine, University of Kelaniya, Ragama, Sri Lanka.
Ceylon Med J. 1998 Jun;43(2):109-11.
Spontaneous hepatic rupture in pregnancy is rare and associated with significant maternal morbidity and mortality. It has been reported in association with severe pregnancy-induced hypertension and HELLP (haemolysis elevated liver enzymes low platelets) syndrome. New imaging techniques enable early diagnosis, and in those with subcapsular haematomas, conservative management. Surgical intervention is necessary in capsular rupture with haemodynamic instability. We here report three fatal cases and discuss the diagnosis and management.
妊娠期自发性肝破裂罕见，与孕产妇的高发病率和死亡率相关。据报道，它与重度妊娠高血压综合征及HELLP（溶血、肝酶升高、血小板减少）综合征有关。新的成像技术有助于早期诊断，对于有包膜下血肿的患者可采取保守治疗。对于出现血流动力学不稳定的包膜破裂患者，手术干预是必要的。我们在此报告三例致命病例，并讨论其诊断和治疗。
