妊娠合并急性脂肪肝临床护理

Clinical Nursing Care of Pregnancy Complicated with Acute Fatty Liver

目的:探讨妊娠合并急性脂肪肝的护理措施,总结护理经验.方法:回顾性分析8例急性脂肪肝的临床资料.结果:经过精心治疗及护理7例痊愈出院,1例肝性脑病(肝昏迷)放弃治疗,回家后4小时死亡.结论:对妊娠期产妇,细心观察病情,早期发现,早期诊断,尽早结束妊娠,产后及术后严格观察病情变化,并采取针对性有效的护理措施,预防急性肾功能衰竭,多脏器功能衰竭,出血(DIC),肝性脑病甚至肝昏迷等并发症,可降低母婴死亡率.

Objective:To study the nursing measures on pregnancy complicated with acute fatty liver, and to sum up nursing experience. Methods:The clinical data of 8 cases of pregnancy complicated with acute fatty liver were retro-spectively analyzed. Results: 7 cases were recovered and discharged from hospital after meticulously treatment and nursing, 1 case was hepatic encephalopathy (hepatic coma) and gave up treatment, and died after getting home 4 hours. Conclusion:For pregnancy woman, careful observation of illness state, early detection, early diagnosis, early end the pregnancy, strict observation of postpartum and postoperative patient's condition, and adopting the effective nursing measures to prevent complications such as acute renal failure, multiple organ failure, bleeding (DIC), hepatic encephalopathy and hepatic coma and so on, can reduce maternal and infant mortality.