1 case of acute liver failure with slow Gaja acute fatty liver of pregnancy care.docVIP

 PAGE \* MERGEFORMAT 7 1 case of acute liver failure with slow Gaja acute fatty liver of pregnancy care [Keywords:] liver failure, dried; pregnancy, fatty liver; Care A medical record Female patient, 44 years old, the private prosecutor in January 2009 menopause, pregnancy by the local hospital, good physical condition during fetal development is normal .5 mid-May, there were no obvious incentive to head yellow body, and progressive increase, decrease food satisfied , nausea, vomiting tired of oil, then in a local hospital three positive hepatitis B, ALT 404.7 mmol / L, live intrauterine fetal ultrasound tips, diffuse liver disease. for the sake of further treatment to stay in our department. hospitalized Zheng Jian: body with severe head yellow dye, when nausea, anorexia eating, yellow urine, dry stool, liver palms sign (+); obstetric examination: House Flat umbilical, fetal position due to clearance, fetal heart rate 140 times / min, heart rate Qi, no contractions . admission diagnosis: viral hepatitis (chronic hepatitis B), slow Gaja acute hepatic failure, acute fatty liver of pregnancy. hospitalized after serious illness under doctor’s orders, monitoring vital signs, stopped on the oxygen, 10 ml of oral lactulose to relax constipation, jaundice Liver think Mattel improve cholestasis, potassium magnesium aspartate protect the cell membrane. disinfection of Ahmadinejad in the prescription by using nectar mixture of heat dampness; obstetric consultation comments: Due to the rapid progression of the disease in patients, is in a state of liver failure, should not continue the pregnancy. with the patient and the family agreed to the line after the June 6 induction, postoperative treatment with glutathione to promote adjustment of liver cell growth, while improving the hepatic microcirculation Kay spironolactone Link diuretic, anti-infective .7 ceftazidime 23 patients improved and discharged. 2 nursing 2.1 based care for patients with liver failure