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妊娠急性脂肪肝(acute faty liver of pregnancy,AFLP),临床比较少见,病情危重,是发生在妊娠晚期的一种严重并发症。AFLP起病急骤,常伴有多种肝外并发症。母婴死亡率高达85%。我院于2000年11月成功救治1例AFLP患者,现报告如下。 患者 女,29岁,妊3产0,于2000年11月3日因停经34+2周、双胎、恶心呕吐频繁,上腹痛4 d入院。既往体健,月经正常,无肝炎史。入院检查:
Pregnancy acute fatty liver (acute faty liver of pregnancy, AFLP), clinical relatively rare, critically ill, is a serious complication occurred in late pregnancy. AFLP rapid onset, often accompanied by a variety of extrahepatic complications. Infant and maternal mortality rates are as high as 85%. Our hospital in November 2000 successfully treated 1 patient with AFLP, are as follows. Female patient, 29 years old, 3 pregnant and 0 pregnant, on November 3, 2000 due to menopause 34 + 2 weeks, twin, nausea and vomiting, abdominal pain 4 d admission. Past physical health, normal menstruation, no history of hepatitis. Admission examination: