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目的:探讨妊娠重症肝炎临床治疗方法,以降低该病母婴围产期死亡率。方法:对72例妊娠合并肝炎患者的临床资料进行回顾性分析。结果:本组患者均为晚期妊娠,孕周34~40周,平均孕周(37.5±1.0)周;阴道分娩32例,剖宫产41例,子宫切除3例,6例患者出现死亡,死亡率5.13%,胎儿死亡11例,死亡率15.07%。结论:妊娠合并重症肝炎病情危重,病情发展迅速,及时纠正患者低蛋白血症及肝功能障碍,可预防肝性脑病和急性肾功能衰竭,适时终止妊娠可阻止肝脏功能进一步损害,能预防DIC的发生,对降低母婴围产期病死率有重要的意义。
Objective: To explore the clinical treatment of severe hepatitis in pregnant women to reduce the perinatal mortality of maternal and infant. Methods: The clinical data of 72 patients with pregnancy complicated with hepatitis were analyzed retrospectively. Results: All of the patients in this group had advanced gestational age from 34 to 40 weeks gestational age with an average gestational age (37.5 ± 1.0) weeks. 32 cases were vaginal delivery, 41 cases were cesarean and 3 cases were hysterectomy. 6 patients died and died Rate of 5.13%, fetal death in 11 cases, the mortality rate of 15.07%. Conclusions: Severe hepatitis complicating pregnancy is critically ill, the condition develops rapidly, promptly correct hypoproteinemia and liver dysfunction in patients, prevent hepatic encephalopathy and acute renal failure, timely termination of pregnancy can prevent further damage to liver function, prevent DIC Occur, reduce the perinatal mortality of maternal and infant have important significance.