Fulminant hepatitis in pregnancy: diagnosis and emergency medical strategy

doi:10.3877/cma.j.issn.2095-3259.2016.02.003

Abstract

Abstract:

Fulminant hepatitis in pregnancy seriously affects the outcome of both mothers and fetuses. The overall outcome of fulminant hepatitis in pregnancy depends on timely diagnosis and prompt management. Management protocols need to be individualized for each case. According to the maternal and fetal condition, comprehensive treatment should be followed to choose the suitable time and mode of delivery for the patients.

Key words: Acute liver failure, Pregnancy, Treatment, Strategies

Hongying Hou. Fulminant hepatitis in pregnancy: diagnosis and emergency medical strategy[J]. Chinese Journal of Obstetric Emergency(Electronic Edition), 2016, 05(02): 75-79.

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疾病名称	既往病史	发病孕周	症状体征	实验室检查
病毒性肝炎	病毒性肝炎	任何孕周	消化道症状，黄疸，肝臭，肝性脑病	胆红素升高，胆酶分离，凝血障碍，血氨升高，病原学检查阳性
妊娠期急性脂肪	无	任何孕周	消化道症状，黄疸，肝性脑病	高胆红素血症，低血糖，血氨升高，白细胞升高，DIC，血小板减少
重度子痫前期	妊娠期高血压	20周后	血压升高，头痛、头晕，视力模糊，抽搐、昏迷	蛋白尿，低蛋白血症，眼底检查见高血压病变

疾病名称	既往病史	发病孕周	症状体征	实验室检查
病毒性肝炎	病毒性肝炎	任何孕周	消化道症状，黄疸，肝臭，肝性脑病	胆红素升高，胆酶分离，凝血障碍，血氨升高，病原学检查阳性
妊娠期急性脂肪	无	任何孕周	消化道症状，黄疸，肝性脑病	高胆红素血症，低血糖，血氨升高，白细胞升高，DIC，血小板减少
重度子痫前期	妊娠期高血压	20周后	血压升高，头痛、头晕，视力模糊，抽搐、昏迷	蛋白尿，低蛋白血症，眼底检查见高血压病变

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