妊娠期感染戊型肝炎39例临床分析

Clinical Analysis of 39 Cases of Hepatitis E in Pregnancy

目的：探讨孕妇感染戊型肝炎的临床表现及治疗措施。方法：对我院１９９２年１月～１９９４年６月收治的３９例妊娠合并戊型肝炎患者从流行病学特点，临床表现及预后进行回顾性分析。结果：流行病学显示，以散发流行的戊型肝炎预后较好；胎膜早破、宫缩乏力及胎儿窘迫，是孕期感染戊型肝炎的主要并发症。结论：北京地区孕妇感染戊型肝炎以散发形式为主，积极治疗，加强监护是改善预后的关键。

Objective: To introduce clinical manifestations and treatment of hepatitis E in pegnancy. Methods: Thirty nine cases of hepatitis E in pregnancy, were analysed from Jane. 1992 to Jun. 1994, retropectively on its epidemiologic characteristics, clinical manifestations and prognosis. Results: The prognosis of sporadic cases of hepatitis E in pregnancy was good and its main complications were premature rupture of membranes, uterine inertia and fetal distress. Conclusions: Sporadic case is the main form of hepatitis E in pregnancy in Beijing. Active treatment and intensive monitoring would improve its prognosis.