患者 37岁 ,G4 P2+ 1 ,因停经 31+ 6 周 ,全身皮肤瘙痒 2d于 2 0 0 3年 1月 2 9日入院。B超提示为胎盘前置状态 ,无阴道出血。入院前 2d因皮肤瘙痒院外查肝功发现转氨酶及总胆汁酸升高 ,考虑合并妊娠期肝内胆汁淤积症入我院治疗。既往患者于 1989年足月顺产一女婴健在 ,1990年 Patients 37 years old, G4 P2 + 1, due to menopause 31 + 6 weeks, systemic pruritus 2d on January 29, 2003 admission. B-prompt for the placenta previa state, no vaginal bleeding. 2d before admission due to skin itching outside the hospital found liver transaminase and total bile acid increased, consider the merger of intrahepatic cholestasis of pregnancy into our hospital. Past patients were born in full term in 1989 with a baby girl, 1990