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肝移植术后妊娠并足月分娩一例

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Author:: No author available

Journal Title:: Chinese Journal of Perinatal Medicine

Issue:: 5

DOI:: 10.3760/cma.j.issn.1007-9408.2012.05.015

Key Word:: No keyword available

Abstract：孕妇35岁,妊2产0,因"乙型病毒性肝炎肝硬化原位肝移植术后5年,停经37周,计划分娩"于2010年6月7日入院.孕妇5年前因"慢性乙型病毒性肝炎肝硬化"于北京大学人民医院行同种异体原位肝移植术,术后10d乙型肝炎病毒表面抗原(hepatitis B surface antigen,HBsAg)转阴,术后20 d肝酶恢复正常.术后开始口服拉米夫定(100 mg,1次/d,抗病毒治疗)及他克莫司(3 mg·1次/d,抗排异治疗).近5年肝功能正常,HBsAg阴性,他克莫司血药浓度控制在10 ng/ml以下.患者肝移植术后1个月恢复正常月经,3 d/28 d.末次月经2009年9月21日,预产期2010年6月28日.妊娠11周开始于本院产科规律产前检查.

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