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我院1990年1月～1990年12月共收治妊娠期肝内胆汁郁积症(简称ICP)107例,占同期分娩总数的2.07%。107例中,初产妇98例,经产妇9例,其中有2例经产妇每次妊娠均出现黄疸及皮肤搔痒。入院时<28孕周4例、28～32孕周5例,33～36孕周55例,37～40孕周40例,40孕周以上3例。107例均有全身不同部位、不同程度搔痒及血清胆酸(GCA)增高、黄疸或有或无,无明显消化道症状。部分患者肝功能示SGPT、总胆红质、黄疸指数轻度升高,尿胆红素阳性。产后上述症状很快消失,肝功能亦恢复正常。治疗与监护:我院在治疗上采取保肝,抑制宫缩,改善胎盘血液循环,促胎肺成熟等综合治疗措
Our hospital from January 1990 to December 1990 were treated during pregnancy, intrahepatic cholestasis (referred to as ICP) 107 cases, accounting for 2.07% of the total number of deliveries over the same period. 107 cases, primipara in 98 cases, 9 cases of mothers, of which 2 cases of mothers each time there jaundice and skin itching. Admission <28 gestational weeks in 4 cases, 28 to 32 gestational weeks in 5 cases, 33 to 36 gestational weeks in 55 cases, 37 to 40 gestational weeks in 40 cases, more than 40 gestational weeks in 3 cases. 107 cases have different parts of the body, varying degrees of itching and increased serum bile acid (GCA), jaundice or not, no obvious gastrointestinal symptoms. Some patients showed SGPT SGPT, total bilirubin, jaundice index was slightly elevated, urinary bilirubin-positive. Postpartum symptoms disappear soon, liver function also returned to normal. Treatment and custody: In our hospital, we take hepatoprotective therapy, inhibit uterine contractions, improve blood circulation of the placenta, and promote comprehensive treatment of fetal lung maturity