妊娠合并病毒性肝炎49例分析

Clinical analysis of 49 cases with viral hepatitis of pregnancy

目的探讨肝炎与妊娠的关系。方法分析 49例妊娠合并病毒性肝炎病例 ,并与同期育龄非妊娠病毒性肝炎比较。结果妊娠合并肝炎以乙型为主 ,随妊娠周数增加 ,肝炎发病率和病死率增加。妊娠合并肝炎组凝血酶原时间 (PT)明显延长 ,白蛋白 (AL B)显著降低 ,并发肝性脑病和肝肾综合征均高于非妊娠肝炎组 ,妊娠组重症肝炎发生率和病死率均高于非妊娠肝炎组 (P<0 .0 5 )。结论对妊娠合并肝炎患者的处理 ,需视不同的病程。

Objective To study the relationship of hepatitis and pregnan cy .Methods 49 cases with viral hepatitis of pregnancy were analyze d and compared with viral hepatitis of non-pregnant cases.Results Most of the hepatitis following pregnancy were HBV,with the increment of preg nant weeks,the incidence and mortality rates of hepatitis were increased.PT was remarkably prolonged and ALB lowered in 49 cases.Complications of hepatic enceph alopathy and hepto-renal syndrome were more,the incidence and fatality rates of severe hepatitis were higher than that in healthy group (P<0.05 ).Conclusion Pregnancy with viral hepatitis should be treated accord ing to different course and condition of disease.