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妊娠期肝包膜下血肿是罕见又极严重的并发症,有一定临床表现但无特异性,常被延误诊断至妊娠晚期才发现。母亲和胎儿死亡率分别为60％、70％。经产妇多见,初产妇亦有25％发病率。 作者报道一例孕28周,是通过B超、CT术前被诊断的。患者29岁,第二胎初产,吸烟,自幼有严重过敏性哮喘,高血压。停经5周时BP150/80mmHg。孕25周,因妊高症住院。血压最高达180/100mmHg,增重10kg,下肢中度浮肿,主诉胎动减少,上腹部索条状疼痛。化验有肝细胞破坏表现,如SGOT35IU/L,SGOT38IU/L,血尿酸241μlmo/L,尿蛋白0.24g/24h,经治疗后蛋白尿
Subhepatic hematoma during pregnancy is a rare and extremely serious complication, but there is no specific clinical manifestations, often delayed diagnosis was found until late pregnancy. Maternal and fetal mortality rates were 60% and 70% respectively. Maternal common, primipara also 25% incidence. The authors report a case of 28 weeks of pregnancy, is diagnosed by B ultrasound, CT preoperatively. Patient 29 years old, second child primipara, smoking, childhood severe allergic asthma, high blood pressure. BP 150 / 80mmHg after 5 weeks of menopause. 25 weeks pregnant, hospitalized for pregnancy-induced hypertension. Blood pressure up to 180 / 100mmHg, weight gain 10kg, lower extremity moderate edema, complained of decreased fetal movement, the upper abdomen stripe pain. Test showed liver damage, such as SGOT35IU / L, SGOT38IU / L, uric acid 241μlmo / L, urinary protein 0.24g / 24h, after treatment of proteinuria