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首页> 外文期刊>The journal of obstetrics and gynaecology research >Liver rupture in a 28‐year‐old primigravida with superimposed pre‐eclampsia and hemolysis, elevated liver enzyme levels, and low platelet count syndrome
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Liver rupture in a 28‐year‐old primigravida with superimposed pre‐eclampsia and hemolysis, elevated liver enzyme levels, and low platelet count syndrome

机译：肝脏破裂在一个28岁的血液杀菌剂中，具有叠加的前异常先驱和溶血，肝酶升高，低血小板计数综合征

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Abstract Serious hepatic complications, although rare, are one of the leading causes of maternofetal morbidity and mortality in hypertensive pregnancy disorders. A 28‐year‐old primigravida was transferred to our hospital complaining of refractory epigastric pain in the 29th week of pregnancy and was subsequently admitted due to superimposed pre‐eclampsia and hemolysis, elevated liver enzyme levels, and low platelet count syndrome. Following a pathological cardiotocogram, a cesarean section was performed. The intra‐abdominal situs presented with 1000?mL of blood and a bleeding rupture of the left lobe of the liver. The trauma to the liver was surgically repaired with a suture and the patient's state was stabilized. Following the surgical procedures and neonatal intensive care, mother and newborn both recovered without residues. In order to avoid unnecessary maternal morbidity, we therefore recommend an abdominal ultrasound, beyond an obstetric focus, as an additional and sensible means of diagnostic imaging in cases of hemolysis, elevated liver enzyme levels, and low platelet count syndrome.
机译：摘要严重的肝脏并发症，虽然罕见，是高血压妊娠障碍的母婴发病率和死亡率的主要原因之一。在怀孕29周的第29周，一名28岁的血液活动被转移到我们的医院抱怨令人难以置疑的心肌疼痛，随后由于叠加的预先引入的预升性和溶血，肝酶水平和低血小板计数综合征而被录取。在病理心脏点卡后，进行剖宫源。腹部内部患有1000μl血液和肝脏左侧叶的出血破裂。肝脏的创伤用缝合线进行手术修复，患者的状态稳定。在手术手术和新生儿重症监护，母亲和新生儿都没有残留物恢复。为了避免不必要的孕产妇发病率，我们建议腹部超声，超越产科焦点，作为在溶血，肝酶水平和低血小板计数综合征和低血小板计数综合征中的诊断成像的另一种和明智的手段。

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