补充分析文献1例急性妊娠脂肪肝并发多脏器衰竭的危重、疑难、罕见个案资料,以期对进一步优化诊治有启示。1病例资料患者,女,30岁,主因双下肢水肿5d、剖宫产后1d,无尿、神志异常6h入院。5d前发现双下肢水肿,并有轻度上腹钝痛及呼吸困难,某妇产医院给予地塞米松5mg、硫酸镁静脉滴注及口服沙丁胺醇后症状缓解。2d前自觉胎动减少,并再次轻 Analysis of a case of acute pregnancy fatty liver complicated by multiple organ failure in critical, difficult and rare case data, with a view to further optimize the diagnosis and treatment of enlightenment. A case data, female, 30 years old, mainly due to edema of both lower extremities 5d, 1d after cesarean section, anuria, delirium 6h admission. 5d before the discovery of lower extremity edema, and mild abdominal pain and difficulty breathing, a maternity hospital to give dexamethasone 5mg, intravenous infusion of magnesium sulfate and salbutamol symptoms relieved. 2d conscious fetal movement decreased before, and again light