How does pregnant acute fatty liver do?

summary

How does pregnant acute fatty liver do? Acute fatty liver of pregnancy is a critical disease during pregnancy. It usually occurs in twenty-eighth to 40 weeks of pregnancy, averaging thirty-sixth weeks. The incidence rate is very low in pregnant women aged 26~30 years. The incidence rate is very low, about 1/130000. But the mortality rate of pregnant women and fetus is 33.3% and 66.7% respectively, and the prognosis is very poor.

How does pregnant acute fatty liver do?

There is no specific treatment for acute fatty liver in pregnancy. Once diagnosed, pregnancy should be terminated as soon as possible. Cesarean section or induced labor can be used to improve the prognosis of patients. At the same time, support and symptomatic treatment were given. All kinds of nutrients were supplied through peripheral vein, and if necessary, the central vein was used to maintain the balance of water and electrolyte.

If pregnant women have obvious anemia or bleeding tendency, appropriate amount of red blood cells, platelets and fresh frozen plasma can be added; Patients with ascites can be treated with albumin, diuretic and ascites release; When accompanied with hepatic encephalopathy, we should limit the protein intake, give relevant drug treatment, and actively treat DIC, pancreatitis, gastrointestinal bleeding, etc.

Because it only takes 1-2 weeks, the disease can suddenly aggravate, appear coagulation dysfunction, hypoglycemia, consciousness disorder, coma, oliguria, anuria and other manifestations, at this time, the danger is also coming. Once diagnosed or highly suspected of acute fatty liver in pregnancy, pregnancy should be terminated as soon as possible, no matter the severity of the disease, sooner or later. Otherwise, a large number of hepatocytes in a short period of time, rapid steatosis, leading to acute liver failure, endangering the lives of mothers and infants.

matters needing attention

The total energy should be controlled at about 20-25 kcal per kilogram of standard weight per day. No matter what the cause of fatty liver is, the total energy intake per day should be controlled in the normal range. The choice of meat food should be mainly fish, poultry, rabbit, avoid excessive use of greasy pork, especially for pig viscera to limit. Three meals a day to maintain regularity, try to avoid excessive food intake, snacks, night food and excessive pursuit of high taste and high calorie seasoned food.