66例中重度妊高征合并肝功能异常临床分析

对６６例中、重度妊高征合并肝功能异常的孕妇进行分析。结果显示：重度妊高征合并肝功能异常者达２０．９５％，明显高于中度妊高征（Ｐ〈０．０５），且与病程长短关系密切；病程〉１月者，肝功能异常明显高于病程〈１月者（Ｐ〈０．０５）。妊高征致肝功能异常主要表现为ＳＧＰＴ升高，胆红素升高少见。此外，肝功能异常者胎儿宫内窘迫、产后出血发生率也明显升高（Ｐ〈０．０５）。

Clinical analysis of PIH with abnormal liver function in 66 patients]

Sixty-six patients of severe pregnancy induced-hypertension(PIH) with abnormal liver function were studied. The results showed that the incidence of abnormal liver function in severe PIH was 20.62%, which was significantly higher than that in moderate PIH and closely related to the course of the disease. The incidence of abnormal liver function in patients who were sick longer than 1 month was much higher than those with short course (P < 0.05). The liver function abnormality in PIH mainly showed the elevation of SGPT activity, increase of serum bilirubin was rarely seen. Besides these, the incidences of the fetal distress and postpartum hemorrhage in patients with abnormal liver function were significantly higher as compared with those having normal liver function (P < 0.05).