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妊娠急性脂肪肝在怀孕后第30至38周时出现,症状有恶心,反复呕吐及腹部疼痛,大约一周后,发生黄疸。有的病人先发生高血压,末梢浮肿,蛋白尿等症状,提示有先兆子痫。这些症状在生双胎和男婴及初产妇较为常见。严重时出现昏迷、肾衰和出血症状。胎儿一般是死胎或采取引产。通常血清尿酸浓度是高的。这可能与组织破坏和乳酸中毒有关。以上症状并非是病毒性肝炎或急性肝功能衰竭时的特征,但是可见于妊娠毒血症。有的病人有高胆红素血症但无溶血。此和先兆子痫、子痫恰恰相反。黄疸在先兆
Acute fatty liver of pregnancy at 30 to 38 weeks after pregnancy symptoms, nausea, repeated vomiting and abdominal pain, about a week after the occurrence of jaundice. Some patients first have high blood pressure, peripheral edema, proteinuria and other symptoms, suggesting that preeclampsia. These symptoms are common in prenatal twins and baby boys and primipara. Serious coma, renal failure and bleeding symptoms. The fetus is usually stillbirth or induced abortion. Serum uric acid levels are usually high. This may be related to tissue damage and lactic acidosis. The above symptoms are not characteristic of viral hepatitis or acute liver failure, but can be seen in gestational toxemia. Some patients have hyperbilirubinemia but no hemolysis. This and preeclampsia, eclampsia exactly the opposite. Jaundice in the aura