论文部分内容阅读
目的探讨妊娠期肝内胆汁症(ICS)患者临床症状、肝功能损害与母儿预后的临床关系,降低围产儿的发病率及死亡率。方法对5年来收治的158例妊娠期肝内淤积症(ICP)患者的临床症状、肝功能损害及母儿预后进行回顾性分析。结果临床症状重、肝功能损害程度大的,其胎儿宫内窘迫、宫内发育迟缓等并发症加重,母亲肝功能恢复缓慢。结论妊娠期肝内胆汁淤积症(ICP)患者可并发较重的肝功能损害,应加强产前检查,定期进行胎盘功能测定、胎儿电子监护仪的监测,降低围产儿的发病率及死亡率。
Objective To investigate the clinical relationship between clinical symptoms and liver dysfunction in pregnant women with intrahepatic cholestasis (ICS) and the prognosis of maternal and infant, and to reduce the incidence and mortality of perinatal infants. Methods The clinical symptoms, liver function impairment and maternal and child prognosis of 158 patients with intrahepatic cholestasis of pregnancy (ICP) admitted in 5 years were retrospectively analyzed. The results of clinical symptoms, a large degree of liver damage, the fetal distress, intrauterine growth retardation and other complications aggravated, mother’s recovery of liver function is slow. Conclusions Patients with intrahepatic cholestasis of pregnancy (ICP) may have severe liver dysfunction. Prenatal examination should be strengthened. Placental function tests and fetal electronic monitor should be regularly monitored to reduce the incidence and mortality of perinatal children.