布加综合征与妊娠

布加综合征是一种少见的肝脏疾病,其与妊娠之间相互影响。系统论述了布加综合征与妊娠的关系,并指出了在疾病诊断和治疗中的注意事项。其一,妊娠是布加综合征的危险因素。对于妊娠期间出现门静脉高压和(或)下腔静脉高压表现的患者,应高度怀疑合并布加综合征。其二,布加综合征患者妊娠具有一定的风险。经治疗病情稳定的患者可以妊娠,但孕期和产后须严密监查,以防止血栓复发。其三,布加综合征可导致女性不孕。原因不明的不孕患者应行腹部超声及CT检查,以排除布加综合征的可能。

Budd- Chiari syndrome and pregnancy

Budd -Chiari syndrome （BCS） is a rare liver disease, and there are mutual influences between BCS and pregnancy. The rela- tionship between BCS and pregnancy is systematically discussed, and the points we should pay attention to in the diagnosis and treatment of this disease are pointed out as follows ： First, pregnancy is a risk factor for BCS ; pregnant women with the clinical manifestations of portal hypertension and （or） inferior vena cava hypertension should be highly suspected of having BCS. Second, pregnancy is risky in BCS patients; pregnancy is allowable in BCS patients who have a stable condition after treatment, but they should be kept under rigorous surveillance during pregnancy and after delivery to avoid thrombosis recurrence. Third, BCS may lead to infertility in women; patients with unexplained infertility should be evaluated by abdominal ultrasound and computed tomography to clarify the diagnosis of BCS.