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宝宝怀在妈妈肝脏上 为何宝宝会跑到肝脏上

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    发表于 2016-4-21 21:23:15 | 显示全部楼层 |阅读模式
      宝宝怀在妈妈肝脏上,这实在是非常罕见,正好印证了“心肝宝贝”这个词。只是,这个“心肝宝贝”,让妈妈可是遭了一通罪。为什么宝宝不是在子宫里而是跑到了肝脏上?怀孕早期出现哪些症状一定要去检查呢?
      昨日,记者从阆中市中医院了解到,该医院于日前接诊并救治了一例极其罕见的肝脏妊娠的孕妇,幸运的是,在出现危急情况后,经过紧急手术,目前,患者已无大碍。
      医院副院长杨雄业说,在肝脏异位妊娠中,随着胎儿的长大,肝脏随时有可能出现破裂,并引起大出血,直接危及孕妇生命。至于这一病例的病因,可能跟患者子宫发育畸形、输卵管有炎症等有关。此外,根据2015年国际最新英文文献报道,在过去的60年里,全球仅报道过22例肝脏妊娠。
      极其罕见:宝宝怀在妈妈肝脏上
      陈女士30多岁,怀孕两个月。4月9日上午,她突然感到腹部一阵剧痛,在家人陪同下到阆中市中医院准备做B超检查。但在等待检查的途中,陈女士突然昏厥,休克。
      “我们马上启动绿色通道,迅速组织抢救。”妇产科主任梁文君主任医师说,在急诊手术中发现,陈女士腹腔存在大量血凝块和血液,大约出血2500毫升。
      陈女士告诉医生,虽然自己已怀孕两个月了,但此前到医院检查,一直未找到妊娠部位(受精卵着床位置)。由于病情复杂,医生一时也找不到病灶,后经多科室医生综合会诊检查,最终确定陈女士属于特别罕见的肝脏妊娠破裂出血,“简单说,就是受精卵未在子宫内着床,而是游离到肝脏表面着床发育”。
      “受精卵到肝脏表面着床发育的情况,极为罕见。”医院副院长杨雄业告诉记者,在肝脏妊娠中,因肝脏随着“宝宝”的长大,随时可能破裂大出血,危及生命,必须及时终止妊娠。在找到病灶后,医院随后成立由多科室参与的救治小组,对陈女士展开救治。
      严峻考验
      4小时手术保住孕妇生命“我从医近30年,肝脏(妊娠)破裂出血还是第一次见到。”梁文君主任说,这样的手术对于参与救治的医生来说,也是一场严峻考验。
      医院副院长杨雄业向记者解释了本次手术难度大的原因:陈女士的妊娠部位靠近肝方叶、胆囊和肝十二指肠韧带的位置,妊娠侵犯了肝脏致使肝脏出血,但这部分重要脏器组织较多,止血手术很困难,“更重要的是,这个位置靠近门静脉,这也就意味着,病人不仅是肝脏异位妊娠出血危及生命,而手术过程中如若造成门静眿损伤也会危及病人的生命安全。”
      这场手术从上午10点20分开始,10余名医护人员协同作战,4个小时手术中,陈女士失去了胆囊,妊娠终止。昨日,记者见到躺在病床上的陈女士,经过3天的治疗和调养,手术后恢复较好。
      医生解释:受精卵为何会跑到肝脏上
      梁文君查询了诸多资料后向记者解释说,正常人怀孕,精子和卵子在输卵管里受精,形成受精卵,在输卵管里呆7-10天后,输卵管里有一个粘膜层,会开始一点点地拨动,像划船一样,把受精卵慢慢推到子宫里。但是如果输卵管发炎了,这“划船”的动作就没有了;抑或是输卵管畸形,受精卵则游不进子宫着床。受精卵停在了输卵管,会出现返流,流出输卵管以外的地方着床。受精卵在子宫体腔以外着床称为异位妊娠,即平常所说的宫外孕。据悉,异位妊娠是妇科常见的急腹症,至于肝脏妊娠这种宫外孕的情况,则十分罕见。
      梁文君说,女性有盆腔炎、子宫炎症要及时治疗,妇女在怀孕前要做一个充分的检查,排除生殖道畸形等情况,此外,女性在月经来迟2周就要到医院做检查,以确定是否怀孕以及妊娠部位,若属于宫外孕则需要及时做手术终止妊娠,否则情况严重会危及孕妇生命。
      怀孕早期出现哪些状况时需要立刻去医院就医检查呢?
      1、体温持续升高须就医
      孕妇身体发热是常见的致畸原因之一,而且热度越高时间越久,致畸几率越高,所以孕早期一定要特别注意气候的变化,远离空气混浊、人员多的地方,而且像高温作业、桑拿浴、热盆浴等会造成体温升高的活动,也都不适合孕早期女性。
      2、阴道流血须就医
      流血量少,断断续续且没有腹痛的情况下可以试着先卧床休息观察,如果休息后依然流血不止甚至增多,就应该立即去医院检查胚胎是否正常发育,并及时确定治疗方案;而如果是出血过量超过月经的情况,就更需要注意了,且还要留意是否有组织物排出,有的话就需要立即去医院,并带上组织物,让医生可以更好的诊断。
      3、腹痛须就医
      出现腹痛,尤其是下腹部痛,首先可判断是否是妊娠并发症。如果是一阵阵的小腹痛同时伴有见红,则可能是先兆流产,如果是单侧下腹部剧痛,并伴有见红和昏厥则可能是宫外孕。出现这两种腹痛,一定要及时去医院,千万不要盲目卧床保胎。
      4、剧吐须就医
      早期的呕吐是正常的反应,但如果是严重的呕吐就需要快去医院检查了,具体表现为:持续出现恶心、呕吐频繁、不能进食且明显消瘦,全身乏力;因为剧吐会影响营养的吸收,且长期的饥饿状态还会导致血压下降,尿量减少等一系列不良反应,严重时会造成肝肾功能损伤,也会影响胎儿的发育。
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