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妊娠期复发性黄疸又称妊娠期特发性黄疸,在临床上很少见,国内文献报告也极少。笔者3年多前曾遇1例,现报道如下:患者王××,女性,29岁,职工。主诉:因皮肤搔痒及黄疸2月余,于1975年11月来我院门诊就医,当时妊娠7个月。患者系妊娠第二胎,停经45天后出现食欲不振、疲乏、恶心,未服任何药物。妊娠5个月时发生皮肤搔痒及黄疸,搔痒于夜间增剧,影响睡眠。始来内科就医,曾诊断为“妊娠合并黄疽型肝炎”,给予保肝、中草药等治疗无效。妊娠7个月时,上述症状有所加重,大便4~6次/日,灰白色,进油腻饮食后便次明显增加。
Recurrence jaundice during pregnancy, also known as idiopathic jaundice during pregnancy, is rare in clinical practice, domestic literature reports are rare. I met more than 3 years ago, are reported as follows: Patient Wang × ×, female, 29 years old, workers. Chief complaint: due to skin itching and jaundice more than 2 months, in November 1975 to our hospital for medical treatment, was 7 months of pregnancy. Patients with second pregnancy, after 45 days of menopause appeared loss of appetite, fatigue, nausea, not taking any medication. Pruritus and jaundice occur at 5 months of gestation, itching increases at night and affects sleep. He came to medical treatment, had been diagnosed as “pregnancy with jaundice hepatitis”, given liver, herbs and other treatments invalid. 7 months of pregnancy, the above symptoms have increased, stool 4 to 6 times / day, gray, then significantly increased after the greasy diet.