Clinical Features Of Acute Fatty Liver Of Pregnancy (AFLP) And Maternal And Fetal Prognosis In Relative Research

Objective:Use the APACHEâ…¡grade system to explore the clinical features of acute fatty liver of pregnancy(AFLP)and maternal and fetal prognosis relative research and perinatal prognosis effect of time to finding ill of pregnancy to coming;of time to termination of pregnancy on maternal and fetal with acute fatty liver.Methods:The clinical findings and outcome of pregnancy of 18 patients with acute fatty liver of pregnancy in recent nine years were analyzed.used APACHEâ…¡grade system to computate grade and prognosis risk of death to index of the perinatal prognosis of maternal.Analysis relationship of the time of invasion to coming;the time of coming to termination of pregnancy on materal and APACHEâ…¡grade system and fetal death rate.To invest the laboratory examination and APACHEâ…¡grade system of this data.Results:1.The time of invasion to coming and APACHEâ…¡grade system is positive correlation.The time of invasion to coming is too early,the grade of APACHEâ…¡grade system is too small,the maternal prognosis is too fine,on the contrary,is too serious.The result of divide into groups:to have prodromal symptom to invation in week,the prognosis is improve.2.The time of coming to termination of pregnancy on materal and APACHEâ…¡grade system is positive correlation.To termination of pregnancy is too early,the grade of APACHEâ…¡grade system is too small,the maternal prognosis is too fine,on the contrary,is too serious.The result of divide into groups:maternal prognosis is serious if coming time to termination of pregnancy beyong 24 hours.3.The time of invation to termination and APACHEâ…¡grade system is positive correlation.The result of divide into groups:to have prodromal symptom to invation to termination in 10 days,the prognosis is improve.4.IF the patients of ALFP invation and coming early can degrade the fetal death rate.Conclusions:The time of the unspcificitive precursory symotom appeared to coming of AFLP patients is longer,the prognosis is serious more.To think highly of the mitis of AFLP,to coming and checking and corresponding treatment,the prognosis is good for materal and fetal.The time of coming to termination of pregnancy in 24 hours is significance to prognosis of materal and fetal.The time of invation to termination in 10 days,the prognosis of AFLP patients is good.Falling ill of pregnancy must to be coming early;dignonsis early,termination of pregnancy on materal in time is key point to degrade the materal and fetal death rate of AFLP.