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目的:妊娠合并病毒性肝炎32例临床诊治。方法:本文选取我院于2013年08月~2014年08月收治的32例妊娠合并病毒性肝炎患者,将其随机分为重症肝炎组和非重症肝炎组,对两组分别依据肝炎严重程度实施治疗过程,对比两组患者的临床症状不良反应发生率、分娩结局治疗效果。结果:重症肝炎组中有8例孕妇在分娩过程出现死亡,新生儿在分娩过程中有4例出现死亡,其孕妇分娩死亡率和新生儿分娩死亡率分别是50.00%和25.00%;非重症肝炎组中有0例孕妇在分娩过程出现死亡,新生儿在分娩过程中有0例出现死亡,其孕妇分娩死亡率和新生儿分娩死亡率分别是0.00%和0.00%;两组结果对比存在显著性差异(P<0.05),具有统计学意义。结论:妊娠合并病毒性肝炎患者在妊娠结局中死亡率非常高,其预后处理难以有效开展,因此在临床中需要引起足够关注和认识,值得在临床中推广应用。
Objective: Clinical diagnosis and treatment of 32 cases of pregnancy complicated with viral hepatitis. Methods: In this study, 32 cases of pregnancy complicated with viral hepatitis treated in our hospital from August 2013 to August 2014 were randomly divided into severe hepatitis group and non-severe hepatitis group, and the two groups were respectively carried out according to the severity of hepatitis The course of treatment was compared between two groups of patients with clinical symptoms of adverse reactions, delivery outcome treatment. Results: In the severe hepatitis group, 8 pregnant women died during childbirth, 4 newborns died of childbirth, 50.00% and 25.00% of the maternal mortality and neonatal maternal mortality respectively. Non-severe hepatitis 0 cases of pregnant women in the group died during childbirth, newborns in childbirth occurred in 0 cases of death, the maternal mortality and neonatal maternal mortality were 0.00% and 0.00% respectively; there was significant difference between the two groups Difference (P <0.05), with statistical significance. Conclusion: The mortality of pregnant women complicated with viral hepatitis is very high in the pregnancy outcome. The prognosis is difficult to be effectively carried out in clinic. Therefore, it is necessary to pay enough attention and understanding in clinical practice, which is worth popularizing in clinic.