摘要
目的:探讨妊娠合并重型戊型肝炎临床特点。方法:2004年1月-2010年1月收治妊娠合并重型戊型肝炎患者32例,对其临床资料(实验室检查、诊断、治疗及预后)进行回顾性分析。结果:32例患者中存活率43.75%,死亡率56.25%。26例妊娠晚期产妇中新生儿存活率11.54%,死亡率88.46%(其中死胎率69.23%);6例产褥期产妇中新生儿存活率100%。另外,妊娠合并重型戊型肝炎主要表现为黄疸、肝脏肿大等。结论:妊娠合并重型戊型肝炎预后效果较差,病死率较高,为此需早期准确诊断及积极治疗,以保护母婴安全。
Objective:To investigate the clinical characteristics of pregnancy women with severe hepatitis E.Methods:32pregnancy women with severe hepatitis E were selected from January 2004 to January 2010.We retrospectively analyzed their clinical data(laboratory examination,diagnosis,treatment and prognosis).Results:Among 32 patients,the survival rate was 43.75%;the mortality rate was 56.25%.Neonatal survival rate of 26 late pregnancy maternal was 11.54%;the mortality rate was 88.46%(among which the stillbirth rate was 69.23%).Neonatal survival rate in 6 cases of puerperal women was 100%.In addition,pregnancy complicated with severe hepatitis E was mainly performenced jaundice,liver enlargement.Conclusion:Pregnancy complicated severe hepatitis E always has poor prognosis,and the mortality rate is high,so it is necessary to accurate diagnosis and aggressive treatment early,in order to protect the safety of mother and infant.
关键词
妊娠
重型戊型肝炎
临床特点
Pregnancy
Severe hepatitis
Clinical characteristics