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妊娠期肝内胆汁淤积症51例临床分析
引用本文:李维玲,张西艺. 妊娠期肝内胆汁淤积症51例临床分析[J]. 中国妇幼健康研究, 2006, 17(5): 386-388
作者姓名:李维玲  张西艺
作者单位:西安高新医院,陕西西安710075
摘    要:
目的 了解妊娠期肝内胆汁淤积症的临床表现、妊娠结局.方法 对住院治疗的妊娠期肝内胆汁淤积症51例,回顾分析临床表现、治疗及结局.结果 38例有皮肤瘙痒表现,占74.5%.49例(96.1%)血清总胆汁酸升高.经过治疗,49例(96.1%)至37周剖宫分娩.新生儿窒息2例(3.9%).结论 妊娠期肝内胆汁淤积症对母儿危害较大,但通过积极有效的治疗,预后良好.

关 键 词:妊娠期肝内胆汁淤积症  血清  总胆汁酸  瘙痒
文章编号:1673-5293(2006)05-0386-03
收稿时间:2006-07-12
修稿时间:2006-07-12

A clinical analysis of 51cases of intrahepatic cholestasis of pregnancy
LI Wei-ling,ZHANG Xi-yi. A clinical analysis of 51cases of intrahepatic cholestasis of pregnancy[J]. Chinese Journal of Maternal and Child Health Research, 2006, 17(5): 386-388
Authors:LI Wei-ling  ZHANG Xi-yi
Abstract:
Objective To investigate manifestations and pregnancy outcomes of intrahepatic cholestasis of pregnancy.Methods The manifestations,treatment and pregnancy outcomes of 51 cases of intrahepatic cholestasis of pregnancy were retrospectively analyzed.Results 38 cases(74.5%) suffered from pruritus.The serum total bile acid increased in 49 cases(96.1%).After treatment,49 cases(96.1%) received cesarean section before 37 weeks of gestational ages.Only 2 cases(3.9%)were accompanied with neonatal asphyxia.Conclusion Intrahepatic cholestasis of pregnancy is harmful to mother and the fetus.But its prognosis is good after effective treatment.
Keywords:intrahepatic cholestasis of pregnancy  serum  total bile acid  pruritus
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