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具有肾功能衰竭、血清胆红素升高及出血性素质的妊娠妇女所表现的临床特征,虽曾有过论述,但尚未充分地讨论过。病人可能有严重的先兆子痫、急性妊娠脂肪肝、溶血-尿毒症综合征或血栓性血小板减少性紫癜等非常少见的疾病。由于产科医生可独立处理病人,或请胃肠病学家、血液病学家、肾病学家或神经病学家会诊,但很少有临床医生对自己专科研究范围外的综合征及诊断具有丰富的经验。至少妊娠急性脂肪肝与70％产期死亡率及80％的产妇死亡率有关。因此,诊断及处理此类病人应
Although the clinical features of pregnant women with renal failure, elevated serum bilirubin, and hemorrhagic qualities have been discussed, they have not been adequately discussed. Patients may have very rare pre-eclampsia, acute fatty liver of pregnancy, hemolysis-uremic syndrome or thrombotic thrombocytopenic purpura and other very rare diseases. Because obstetricians can treat patients independently or ask gastroenterologists, hematologists, nephrologists, or neurologists for consultation, few clinicians have extensive experience with syndromes and diagnoses that are beyond the scope of their specialist research experience. At least one pregnancy with acute fatty liver is associated with 70% maternal mortality and 80% maternal mortality. Therefore, the diagnosis and treatment of such patients should be