妊娠合并重型肝炎转运时机对预后的影响

The influence on the prognosis by transportion oppotunity of hepatitis gravis in pregnancy

目的:探讨妊娠合并重型肝炎转运时机对预后的影响。方法:分析28例妊娠合并重型肝炎病例资料,分为死亡组和存活组,对比两组由外院转来我院时的情况。数据分析采用卡方检验、t检验、u检验、秩和检验。结果:在转入我院时是否分娩对预后的影响有显著性差异;两组患者从起病到转入我院时间长短的差别有显著性;入院时两组在凝血酶原活动度、血清胆固醇、血清总胆红素、肝脏大小、肝性脑病、是否达重型肝炎诊断等方面有显著性差异,即转运时病情的轻重对预后的影响有显著性差异。结论:妊娠合并重型肝炎在产前、在病情较轻尚未发展到重型肝炎前及时转运到有条件的医院预后较好。

Objective： To explore the influence on the prognosis caused by transportion oppotunity of hepatitis gravis in pregnancy. Methods： 28 cases of hepatitis gravis in pregnancy were divided into dead group and survival group, and the data of the two groups were compared when they were tranfered to this hospital using Х^2, t, U tests and rank sum test. Results： Whether the patients deliv- ered or not had remarkable influence on the prognosis; the interval from the onset to the time when they admitted had magnificent difference between the two groups; The PTA, serm cholesterol, serum total bilirubin, the size of liver, hepatic encephalopathy, whether they reached the standard of hepatitis gravis had magnificent difference between the two groups at the time they admitted, that is, the severity of the condition had remarkable influence on the prognosis. . Conclusion： The women of hepatitis gravis in pregnancy will have a better prognosis if they are tranfered to qualified hospital before delivery and not reaching the standard of hepatitis gravis when the condition is slighter.