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妊娠病毒性肝炎(VHP)和妊娠肝内胆汁郁积症(ICP)分别占孕期黄疸的40%和20%以上,两病在隔离、治疗、预后、阻断母婴传播等方面存在着差别,在国家重视围产期保健的今天,两病的鉴别更显重要。爱将59例VHP(急黄42、急无黄9,慢迁4、慢活1、暴肝1、肝炎肝硬化2、38例在院分娩,12例曾肝穿)和13例ICP(8例在院分娩,3例曾肝穿)的资料作一比较,冀找出鉴别要点。1.上消化道症状:VHP57.6%有之,32.3%症状明显,ICP7.7%有之(P<0.01),且症状轻微,为早期重要鉴别。
Pregnancy virus hepatitis (VHP) and pregnancy intrahepatic cholestasis (ICP) accounted for more than 40% and 20% of pregnancy jaundice, respectively, there are differences in the isolation, treatment, prognosis, block mother-to-child transmission, etc. Countries attach importance to perinatal care today, the identification of two diseases is even more important. Episodes of 59 cases of VHP (acute yellow 42, acute yellow 9, slow 4, slow live 1, liver cirrhosis 1, liver cirrhosis 2,38 cases of delivery in hospital, 12 cases of liver wear) and 13 cases of ICP (8 Cases of childbirth in hospital, 3 cases had liver wear) for a comparison of information, to identify the identification points. 1. Upper gastrointestinal symptoms: VHP 57.6% of them, 32.3% of the symptoms were obvious, ICP7.7% had (P <0.01), and mild symptoms, early identification.