妊娠合并非肝硬化门脉高压症:病例报告

Iffat Ara, Safura Khatun
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摘要

妊娠合并非肝硬化门脉高压症是一种不常见的情况。由于妊娠期的生理变化,门静脉高压症患者的病情可能会加重,并产生危及生命的并发症,如静脉曲张大出血,增加孕产妇和胎儿的不良后果。妊娠还容易使患者出现肝功能失代偿。因此,这类病例的治疗需要多学科的参与。在本病例报告中,21 岁的初产妇在妊娠 33 周时出现非肝硬化性门脉高压,伴有巨大脾肿大和吐血病史。术后恢复顺利。患者于术后第 4 天出院。我们希望重点关注妊娠合并门脉高压症的不同方面,以预防并发症的发生和处理该病例。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Pregnancy with Non-cirrhotic Portal Hypertension: A Case Report
Pregnancy with non cirrhotic portal hypertension is an uncommon condition. Due to physiological changes in pregnancy, the patients with portal hypertension may exaggerate and produce life threatening complicationslike variceal haemorrhage and increased incidents of adverse maternal and fetal outcomes. Pregnancy also predisposes the patient to develop hepatic decompensation. So, management of such cases requires a multi-disciplinary approach. In this case report,21-year-old primigravida presented with known case of non cirrhotic portal hypertension at her 33 weeks of pregnancy with huge splenomegaly and history of hematemesis.The pregnancy ran uneventfully, and she underwent elective LSCS at 38+ weeks and gave birth of a live female baby, weighing 3kg was delivered. Post operative recovery was uneventful. The patient was discharged on the 4th post operative day. We want to focus upon different aspects of pregnancy with portal hypertensionto prevent complications and manage the case. J Rang Med Col. March 2024; Vol. 9, No. 1: 86-88
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