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目的探讨肝硬化患者妊娠的条件、妊娠前的准备及终止妊娠时机的选择。方法对北京地坛医院1995年1月至2006年12月收治的24例妊娠合并肝硬化患者的临床资料进行分析。结果24例妊娠合并肝硬化患者中肝硬化失代偿期15例,其中产后出血7例,上消化道出血3例,胎死宫内4例,孕产妇死亡1例;代偿期9例,产后出血1例,无上消化道出血,1例胎死宫内,无孕产妇死亡。结论肝硬化患者应在肝功代偿期妊娠;妊娠前应得到专科医师指导,使妊娠风险降到最低。终止妊娠的时机应为孕33～35周。
Objective To investigate the conditions of pregnancy in patients with cirrhosis, pre-pregnancy preparation and termination of pregnancy timing of choice. Methods The clinical data of 24 pregnant women with cirrhosis who were admitted to Beijing Ditan Hospital from January 1995 to December 2006 were analyzed. Results Twenty-four cases of decompensated cirrhosis were found in 24 pregnant women with cirrhosis, including 7 cases of postpartum hemorrhage, 3 cases of upper gastrointestinal bleeding, 4 cases of fetal death, 1 case of maternal death, 9 cases of compensatory period, 1 case of postpartum hemorrhage, upper gastrointestinal bleeding, 1 case of fetal death, no maternal death. Conclusion Patients with liver cirrhosis should be compensated for liver function pregnancy; pregnancy should be guided by specialists to minimize the risk of pregnancy. The timing of termination of pregnancy should be pregnant 33 to 35 weeks.