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妊娠期肝衰竭近期预后的影响因素

张宝忠 周鹏志

引用本文:
Citation:

妊娠期肝衰竭近期预后的影响因素

DOI: 10.3969/j.issn.1001-5256.2019.02.040
详细信息
  • 中图分类号: R714.255

Influencing factors for short-term prognosis of liver failure in pregnancy

  • 摘要: 妊娠期肝衰竭是严重威胁孕产妇生命安全的妊娠并发症之一,病死率高,预后极差。根据病因、肝衰竭临床分型分期、实验室指标的动态变化、肝脏B超、并发症的种类及数量、产科处理方式的选择以及是否行人工肝支持治疗等方面可初步预测妊娠期肝衰竭的近期预后。认为临床医师对妊娠期肝衰竭的近期预后进行综合全面地评估和判断是必要的,不仅可以指导临床治疗,还可以优化医疗资源配置,提高资源利用率。

     

  • [1]CAO JY, CHEN BH, JIANG PR.Analysis of mortality risk factors in pregnant women with liver failure[J].Current Adv Obstetr Gynecol, 2013, 22 (9) :730-733. (in Chinese) 曹健英, 陈宝花, 蒋佩茹.妊娠合并肝衰竭患者的病死危险因素分析[J].现代妇产科进展, 2013, 22 (9) :730-733.
    [2]LYU ZX.Clinical features of liver failure in pregnancy and influencing factors for prognosis[J].J World Latest Med Inf, 2017, 17 (65) :36. (in Chinese) 吕正煊.妊娠肝衰竭临床特征及影响预后的相关因素分析[J].世界最新医学信息文摘, 2017, 17 (65) :36.
    [3]GUO K, ZHAO JY, LI Q, et al.Influence of etiology on the prognosis of severe hepatitis[J].Guide China Med, 2010, 8 (25) :89. (in Chinese) 郭坤, 赵静媛, 李骞.病原学对重型肝炎预后的影响分析[J].中国医药指南, 2010, 8 (25) :89.
    [4]HAMID SS, JAFRI SMW, KHAN H, et al.Fulminant hepatic failure in pregnant women:Acute fatty liver or acute viral hepatitis?[J].J Hepatol, 1996, 25 (1) :20-27.
    [5]MEHTA S, SINGLA A, RAJARAM S.Prognostic factors for fulminant viral hepatitis in pregnancy[J].Int J Gynaecol Obstet, 2012, 118 (2) :172.
    [6]PATRA S, KUMAR A, TRIVEDI SS, et al.Maternal and fetal outcomes in pregnant women with acute hepatitis E virus infection[J].Ann Intern Med, 2007, 147 (1) :28-33.
    [7]SOLANKE D, RATHI C, PANDEY V, et al.Etiology, clinical profile, and outcome of liver disease in pregnancy with predictors of maternal mortality:A prospective study from Western India[J].Indian J Gastroenterol, 2016, 35 (6) :450-458.
    [8]BORKAKOTI J, HAZAM RK, MOHAMMAD A, et al.Does high viral load of hepatitis E virus influence the severity and prognosis of acute liver failure during pregnancy?[J].J Med Virol, 2013, 85 (4) :620-626.
    [9]FANG L, WU L, ZHANG Y, et al.Multivariate analysis of prognostic factors for fulminant hepatitis in pregnancy[J/CD].Chin J Clinicians:Electronic Edition, 2009, 3 (4) :568-573. (in Chinese) 方莉, 伍玲, 张宇, 等.影响妊娠合并重型肝炎预后的临床多因素分析[J/CD].中华临床医师杂志:电子版, 2009, 3 (4) :568-573.
    [10]LI XM, DENG LZ, CHEN DJ, et al.Univariate analysis on the prognosis of pregnancy complicating fulminant hepatitis[J].Guangdong Med J, 2008, 29 (11) :1806-1808. (in Chinese) 李小毛, 邓柳枝, 陈敦金, 等.影响妊娠合并重型肝炎预后的单因素研究[J].广东医学, 2008, 29 (11) :1806-1808.
    [11]LI XM, MA L, YANG YB, et al.Prognostic factors for severe hepatitis during pregnancy[C].Ningbo:The Fifth National Academic Conference on Perinatal Medicine by Chinese Medical Association, 2005. (in Chinese) 李小毛, 马琳, 杨越波, 等.妊娠合并重型肝炎预后的相关因素[C].宁波:中华医学会第五次全国围产医学学术会议, 2005.
    [12]LEE W.Acute liver failure[J].Semin Respir Crit Care Med, 2012, 33 (1) :36-45.
    [13]YANG YB, LI XM, ZHOU SS, et al.Association between liver function parameters and the prognosis of severe hepatitis during pregnancy[J].J Sun Yat-Sen Univ:Medical Sciences, 2004, 25 (z1) :133-134. (in Chinese) 杨越波, 李小毛, 周水生, 等.肝功能指标与妊娠合并重症肝炎预后的关系[J].中山大学学报:医学科学版, 2004, 25 (z1) :133-134.
    [14]WU L, LI XM, YANG YB, et al.Influencing factors for the prognosis of pregnant women and parturients with severe hepatitis[C].Xining:National Symposium on Perinatal Medicine, 2007. (in Chinese) 伍玲, 李小毛, 杨越波, 等.影响妊娠合并重型肝炎孕产妇预后的相关因素分析[C].西宁:全国围产医学专题学术研讨会, 2007.
    [15]SAHAI S, KIRAN R.Acute liver failure in pregnancy:Causative and prognostic factors[J].Saudi J Gastroenterol, 2015, 21 (1) :30-34.
    [16]BHATIA V, SINGHAL A, PANDA SK, et al.A 20-year single-center experience with acute liver failure during pregnancy:Is the prognosis really worse?[J].Hepatology, 2008, 48 (5) :1577-1585.
    [17]DENG LZ, LI XM, SHEN HM, et al.Value of liver function parameters and coagulation indices in predicting the prognosis of severe hepatitis during pregnancy[J].Chin J Pathophysiol, 2008, 24 (7) :1434-1435. (in Chinese) 邓柳枝, 李小毛, 沈慧敏, 等.肝功能及凝血功能指标在妊娠合并重型肝炎预后预测中的作用[J].中国病理生理杂志, 2008, 24 (7) :1434-1435.
    [18]LI XM, DENG LZ, YANG YB, et al.Clinical significance of serum cholesterol in predicting the prognosis of pregnancy complicating hepatitis gravis[J].J Sun Yat-Sen Univ:Medical Sciences, 2008, 29 (5) :595-597. (in Chinese) 李小毛, 邓柳枝, 杨越波, 等.血清胆固醇水平在妊娠合并重型肝炎预后判断中的临床意义[J].中山大学学报:医学科学版, 2008, 29 (5) :595-597.
    [19]LEE WM, STRAVITZ RT, LARSON AM.Introduction to the revised American Association for the Study of Liver Diseases position paper on acute liver failure 2011[J].Hepatology, 2012, 55 (3) :965-967.
    [20]FANG L, WU L, SHEN HM, et al.Clinical analysis of the prognosis and the fasting blood glucose of the pregnant women with fulminant hepatitis[J].Matern Child Health Care China, 2008, 23 (16) :2213-2214. (in Chinese) 方莉, 伍玲, 沈慧敏, 等.妊娠合并重型肝炎患者血糖水平与预后关系的临床探讨[J].中国妇幼保健, 2008, 23 (16) :2213-2214.
    [21]XM L, LZ D, HM S, et al.Liver synthetic function in predicting the prognosis of pregnancy complicating fulminant hepatitis[J].Chin Med J (Engl) , 2007, 120 (24) :2311-2313.
    [22]CHEN JC.Clinical and fetal outcomes of pregnant women with severe viral hepatitis[D].Guangzhou:Guangzhou Medical College, 2012. (in Chinese) 陈敬成.妊娠合并重型病毒性肝炎的临床及胎儿结局分析[D].广州:广州医学院, 2012.
    [23]YANG Y, DENG L, LI X, et al.Analysis of prognosis-associated factors in fulminant viral hepatitis during pregnancy in China[J].Int J Gynaecol Obstet, 2011, 114 (3) :242-245.
    [24]BANAIT VS, SANDUR V, PARIKH F, et al.Outcome of acute liver failure due to acute hepatitis E in pregnant women[J].Indian J Gastroenterol, 2007, 26 (1) :6-10.
    [25]CHEN G, CHEN T, NING Q.Hotspots and difficulties in the diagnosis and treatment of liver failure with infection[J].J Clin Hepatol, 2018, 34 (9) :1842-1846. (in Chinese) 陈广, 陈韬, 宁琴.肝衰竭合并感染热点难点问题探析[J].临床肝胆病杂志, 2018, 34 (9) :1842-1846.
    [26]ARVANITI V, D'AMICO G, FEDE G, et al.Infections in patients with cirrhosis increase mortality four-fold and should be used in determining prognosis[J].Gastroenterology, 2010, 139 (4) :1246-1256.
    [27]FENG Y.Clinical analysis of 42 cases of pregnancy complicated with severe hepatitis[J].Clin Med China, 2014, 30 (9) :961-963. (in Chinese) 冯颖.妊娠合并重症肝炎42例临床分析[J].中国综合临床, 2014, 30 (9) :961-963.
    [28]ZHOU SS, LI XM, YANG YB, et al.The influence on the prognosis of parturients with hepatitis gravis in pregnancy caused by delivery mode[J].Chin J Birth Health Heredity, 2008, 16 (8) :68-70. (in Chinese) 周水生, 李小毛, 杨越波, 等.分娩方式对妊娠合并重型肝炎产妇预后的影响[J].中国优生与遗传杂志, 2008, 16 (8) :68-70.
    [29]ZHOU SS, LI XM, YIN YZ, et al.The value of hysterectomy in treatment of hepatitis gravis during pregnancy[J].China Tropical Medicine, 2008, 8 (3) :425-428. (in Chinese) 周水生, 李小毛, 尹玉竹, 等.子宫切除术在妊娠合并重型肝炎救治中的价值[J].中国热带医学, 2008, 8 (3) :425-428.
    [30]ZENG YL, WU J.Selection of mode of delivery and its influence on prognosis in pregnant women with severe hepatitis and late pregnancy[J].J Sichuan Contin Edu Coll Med Sci, 1999, 18 (1) :16-17. (in Chinese) 曾义岚, 吴俭.重症肝炎并发晚孕分娩方式的选择对预后的影响[J].四川省卫生管理干部学院学报, 1999, 18 (1) :16-17.
    [31]DAI W, YU H, WANG D, et al.Clinical features of liver failure in pregnancy and influencing factors for prognosis[C].Guangzhou:5th Congress of Chinese Society of Critical Care Medicine, 2011. (in Chinese) 戴炜, 禹弘, 王东, 等.妊娠肝衰竭临床特征及影响预后的相关因素分析[C].广州:中华医学会第五次全国重症医学大会, 2011.
    [32]HU R, KANG XT, ZENG YL, et al.Plasma perfusion combined bilirubin adsorption treatment in the clinical application of pregnancy with severe hepatitis[J].Sichuan Med J, 2015, 36 (12) :1695-1698. (in Chinese) 胡蓉, 康信通, 曾义岚, 等.血浆灌流联合胆红素吸附治疗在妊娠合并重型肝炎的临床应用[J].四川医学, 2015, 36 (12) :1695-1698.
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  • 收稿日期:  2018-08-27
  • 出版日期:  2019-02-20
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