妊娠并肠传非甲非乙型肝炎500例分析

Analysis of 500 Cases in HNANB Pregnant Women with (E)

本文对1986年12月～1988年4月,在新疆墨玉县爆发流行肠传非甲非乙型肝炎[HNANB(E)]期间,收住该县医院的500例妊娠合并肠传非甲非乙型肝炎患者进行了分析。其中19～39岁患者占87.2％,以中,晚期妊娠为主。24.8％(124例)为重症肝炎。病死率达20.8％。分娩对预后有严重影响,易导致产后大出血,加重原有肝病。HNANB(E)对妊娠和胎儿影响较大,早产和死产率较高,有胎儿宫内感染的可能。

This paper analyses 500 eases of pregnant women with HNANB (E) who were admitted to the hospital of Meyu County in s uth Xinjiang during the breakout of HNANB (E) from December 1986 to April 1988. HNANB (E) was found to occur greatly in pregnant women within the age of 19-39 years old(87.2％), and mostly in the second and third trimesters. 24.8％ of all cases developed into fulminant hepatitis. The fatality rate was higher(20.8％)in pregnant women with HNANB (E) . Labor can severely influnce the prognosis and result in post-partum hemorrhage which warsened the hepatitis. Pregnant women infected with HNANB (E) led to miscarriages, prematurs and stillbirths. The HNANB (E) virus may infect the fetus through the placenta.