| 31例妊娠期急性脂肪肝的腹部超声特点及分析 |
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| 引用本文： | 曹梦云,施裕新,李桂明,蒋佩茹,李超群,杨海英.31例妊娠期急性脂肪肝的腹部超声特点及分析[J].中国医学影像学杂志,2011,19(1):66-68. |
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| 作者姓名： | 曹梦云 施裕新 李桂明 蒋佩茹 李超群 杨海英 |
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| 作者单位： | 上海市(复旦大学附属)公共卫生临床中心影像科超声室,上海,201508 |
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| 摘 要： | 目的:探讨妊娠期急性脂肪肝的孕妇腹部超声特点。材料和方法:收集上海市公共卫生临床中心31例AFLP患者病史、腹部超声及血清总胆红素黄疸资料。结果:根据其肝超声三种表现分为三组,第一组脂肪肝组11例、第二组肝质地密集组15例、第三组肝质地无改变组5例;产前的三组患者分别为9/19例、9/19例、1/19例,产后的三组患者分别为2/12例、6/12例、4/12例,产前、产后比较,其第一、第三组病例数有显著差异(P<0.05)。三组患者的超声表现与黄疸情况无关,无轻度黄疸,重度、中度黄疸无显著差异。伴随腹部其他脏器受损,胆囊改变发生率最高,最常见的胆囊改变为胆囊壁水肿伴无胆汁或胆汁充盈差;有胰腺肿大伴胰周积液者2例提示病情危重,均为产前,其中1例死于该病的稀有并发症呼吸衰竭;产后脾肿大、胸腹腔积液较产前多。结论:AFLP腹部超声有其特点,可为临床诊治和预后提供帮助。
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| 关 键 词： | 妊娠 脂肪肝 超声检查 |
Abdominal Ultrasonic Image Feather and Analysis of Acute Fatty Liver of Pregnancy on 31 Cases |
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| CAO Mengyun,SHI Yuxin,LI Guiming,JIANG Peiru,LI Chaoqun,YANG Haiying.Abdominal Ultrasonic Image Feather and Analysis of Acute Fatty Liver of Pregnancy on 31 Cases[J].Chinese Journal of Medical Imaging,2011,19(1):66-68. |
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| Authors: | CAO Mengyun SHI Yuxin LI Guiming JIANG Peiru LI Chaoqun YANG Haiying |
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| Institution: | CAO Mengyun SHI Yuxin LI Guiming JIANG Peiru LI Chaoqun YANG Haiying Department of Imaging,Shanghai Public Health Clinical Center,Shanghai 201508 |
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| Abstract: | Purpose To explore abdominal ultrasound features of pregnant women with acute fatty liver.Materials and Methods Thirty-one cases of acute fatty liver of pregnancy(AFLP)in our hospital were collected.The history,abdominal ultrasound information and serum total bilirubin jaundice data of these 31 cases were analysed.Results Abdominal ultrasound features were divided into 3 groups:Group 1,11patients with fatty liver;group 2,15patients with dense texture liver;and group 3,patients with normal liver density.The ... |
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| Keywords: | ultrasonography child carotid vein internal vein puncture |
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