- 期刊
Anesthesia for Emergency Cesarean Section in a Parturient with Undiagnosed Acute Fatty Liver of Pregnancy-A Case Report
硬脊膜外麻醉於未被診斷出妊娠急性脂肪肝的剖腹產－病例報告
並列摘要
Few clinical diagnoses of acute fatty liver of pregnancy (AFLP) are established immediately upon admission, while anesthetic interventions are frequently required on an emergent basis. We report a patient with the admitting diagnosis of severe preeclampsia with fetal distress necessitating an emergency cesarean section. An epiduralblock was instituted before laboratory datawere available. Rapid changes of coagulation profiles occurred after delivery. The peripartum anesthetic care of the pregnant woman is presented. AFLP was confirmed by liver needle biopsy 26 days later. Taking our case as an examplification, cliniciansmust have a high suspicion that AFLP may exist in concurrence with preeclampsia when a parturient presents manifestations of nausea, jaundice, elevated bilirubin, elevated liver enzyme activities, prolonged PT and PTT, or thrombocytopenia.
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