摘要
目的探讨妊娠急性脂肪肝(acute fatty liver of pregnancy,AFLP)的有效治疗方法。方法回顾性分析36例AFLP的治疗方法,其中31例妊娠急性脂肪肝,首选剖宫产术终止妊娠,其次考虑阴道分娩。5例患者因为发生肝功能衰竭而采用MARS联合血浆置换治疗。结果31例的患者获得了良好的预后,尤其是5例AFLP肝功能衰竭患者均采用人工肝血浆置换疗法,均获痊愈。结论妊娠急性脂肪肝通过治疗,能获得良好的预后。
Objective To explore the effective treatment of acute fatty liver of pregnancy （AFLP）.Method Thirty - six patients with AFLP in Shangyu City People＇s Hospital from April 1995 to April 2008 were retrospectively analyzed. And 31 cases with AFLP were termination of pregnancy using uterine - incision delivery, at the same time, these patients were treated with medical composite treatment. Five cases with AFLP happened the liver function failure, and then were treated with artificial liver ＋ plasma exchange. Results Thirty - one cases with AFLP had good outcome, especially the 5 cases with liver function failure were alive after artificial liver ＋plasma exchange. Conclusions It is the first choose for the patients with AFLP to use uterine - incision delivery ＋ medical composite treatment. When patients with AFLP happened the liver function failure, treatment of artificial liver ＋ plasmapheresis is the effective treatment.
出处
《生物医学工程学进展》
CAS
2009年第4期220-223,共4页
Progress in Biomedical Engineering
关键词
急性脂肪肝
肝功能衰竭
终止妊娠
内科综合治疗
人工肝
血浆置换
Acute fatty liver of pregnancy （AFLP）, Liver function failure, Termination of pregnancy, Medical composite treatment, Artificial liver, Plasma exchange
