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目的降低妊娠合并急性重型肝炎的死亡率。方法通过对10例妊娠合并急性重型肝炎患者结局的分析,总结死亡病例和存活病例在诊断时限及治疗上的不同可以有不同的结局。结果 3例在分娩前积极保肝、支持、改变凝血功能等治疗患者存活,7例在分娩前未进行治疗,在产后病情迅速恶化死亡。结论妊娠合并急性重型肝炎分娩不能改变其愈后,分娩前的积极治疗可以改变其结局。
Objective To reduce the mortality rate of acute severe hepatitis during pregnancy. Methods Based on the analysis of 10 cases of pregnancy complicated with acute severe hepatitis, it is concluded that the death and survival cases may have different outcomes in terms of diagnosis time and treatment. Results Three patients survived before delivery and actively supported the treatment and changed the coagulation function. Seven patients were not treated before delivery and died rapidly after the onset of postpartum. Conclusion Pregnancy complicated with acute severe hepatitis can not be changed after delivery, and the positive treatment before delivery can change its outcome.