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妊娠合并肝炎55例临床分析
引用本文:翟洁卿,张晓红,林炳亮.妊娠合并肝炎55例临床分析[J].热带医学杂志,2007,7(6):580-581,607.
作者姓名:翟洁卿  张晓红  林炳亮
作者单位:1. 广东省东莞市人民医院感染科,东莞,523008
2. 中山大学附属第三医院,广州,510630
摘    要:目的分析妊娠合并肝炎患者的临床特点。方法将55例妊娠合并肝炎病例按照孕周分为早中期妊娠组及晚期妊娠组,比较重症肝炎的发生率、肝功能及转归。结果妊娠期肝炎以慢性乙型肝炎患者占绝大多数,晚期妊娠组较早中期妊娠组重型肝炎发生率高(P=0.011),且病死率高(P=0.001),晚期妊娠组ALT、AST、ALP均高于早中期妊娠(P〈0.05)。结论晚期妊娠合并肝炎病情重、预后差,临床上应严密观察病情变化,以减少孕产妇的病死率。

关 键 词:妊娠  肝炎  临床分析
文章编号:1672-3619(2007)06-0580-02
修稿时间:2007-01-122007-03-09

Clinical Analysis of 55 Cases of Hepatitis during Pregnancy
ZHAI Jie-qing,ZHANG Xiao-hong,LIN Bing-liang.Clinical Analysis of 55 Cases of Hepatitis during Pregnancy[J].Journal Of Tropical Medicine,2007,7(6):580-581,607.
Authors:ZHAI Jie-qing  ZHANG Xiao-hong  LIN Bing-liang
Abstract:Objective To study clinical feature of hepatitis during pregnancy. Method 55 cases of hepatitis during pregnancy were divided into early metaphase group and advanced stage group, and compare the incidence rate of serious hepatitis, liver function and prognosis. Result Most of the hepatitis during pregnancy is caused by HBV infection. The incidence rate and case fatality rate of serious hepatitis during pregnancy in advanced stage group are higher than in early metaphase group. The levels of ALT, AST and ALP in advanced stage group are higher than those in early metaphase group. Conclusion Hepatitis during pregnancy in advanced stage will become more serious and the prognosis is worse than before. We should make an intimate observation on the change of the illness in order to reduce the case fatality rate of pregnant woman.
Keywords:pregnancy  hepatitis  clinical analysis
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