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妊娠期急性脂肪肝是病理产科中罕见病,现报道1例如下。患者,女,27岁。妊娠36周第一胎,因早产6小时后,出现全身皮肤轻度黄染、腹水及少尿入院。该患妊娠经过良好,于早产前一周无诱因出现恶心、呕吐并逐渐加重,发病第三天出现不规律宫缩,翌日在胎头吸引下分娩一女婴,产后病情加重。患者既往健康,否认肝病史。查体:重病容,贫血外貌,神志清,巩膜及全身皮肤黄染。体温37℃,脉搏118次/分,呼吸38次/分,血压170/110mmHg,心肺正常,腹部膨隆如足月妊娠腹型,肝脾触不清,移动浊音明显,
Acute fatty liver during pregnancy is a rare disease in the pathology obstetrics, is reported in 1 case as follows. Patient, female, 27 years old. 36 weeks of gestation the first child, 6 hours after premature delivery, the body appears mild yellowish skin, ascites and oliguria admission. The patient had a good pregnancy and had nausea and vomiting during the first week of preterm labor and gradually increased. On the third day of the disease, irregular contractions appeared. The baby fetus was delivered under the fetus head the following day and the postpartum condition became worse. Past health of patients, denied a history of liver disease. Physical examination: seriously ill, anemic appearance, clear mind, sclera and whole body skin yellow dye. Body temperature 37 ℃, pulse 118 beats / min, breathing 38 beats / min, blood pressure 170 / 110mmHg, normal heart and lungs, abdominal distension such as full-term pregnancy abdominal, liver and spleen touch unclear,