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目的:探讨妊娠期肝内胆汁淤积症(ICP)的诊治原则。方法:就我院近3 a来发生的4例住院期间围生儿死亡病例进行分析。结果:正确掌握ICP分度对临床把握治疗原则具有指导性的意义。结论:ICP的诊治原则应是:首先是要及早发现ICP,其次是要判断ICP的严重程度,最后对处理方法做出正确抉择,以最终达到降低围生儿病死率的目的。
Objective: To investigate the diagnosis and treatment of intrahepatic cholestasis of pregnancy (ICP). Methods: Four cases of perinatal death during hospitalization in our hospital in the recent 3 years were analyzed. Results: The correct grasp of ICP index grasping the principle of clinical treatment has guiding significance. Conclusion: The principle of diagnosis and treatment of ICP should be as follows: ICP should be detected as soon as possible, followed by the determination of the severity of ICP, and finally the correct choice of treatment to achieve the goal of reducing perinatal mortality.