妊娠急性脂肪肝临床上较为少见,国内外报导的资料也不多,妊娠晚期出现黄疸的病例,临床上易误诊为急性黄色肝萎缩。我院妊娠晚期发生黄疸的病例不多,自1972年至今只有6例,多诊断为急性黄色肝萎缩,最后经活体组织检查(肝穿刺),而确诊为妊娠急性脂肪肝的仅有1例,此类病例罕见,预后恶劣。国内外报导死亡率约为82～90%。现将我院1973年发生1例报导如下: 病历摘要沙××,女,25岁,工人,住院号5742。因停经34周,高血压,下肢水肿伴腹部阵痛、恶心呕吐5小时,于1973年4月19日入院。患者为第一孕,末次月经1972年8月下旬,预产期1973年6月上旬。停经后胃口欠佳、恶心、头晕等早孕反应,孕7月开始睡眠欠佳,间有头晕、眼花,在某卫生院作产前检查谓正常,入院前10多天有口 Pregnancy, acute fatty liver is relatively rare clinical data reported at home and abroad are not more cases of jaundice in late pregnancy, clinically misdiagnosed as acute yellow liver atrophy. Jaundice in our hospital late pregnancy cases are rare, since 1972, only 6 cases, more diagnosis of acute yellow liver atrophy, and finally by biopsy (liver puncture), and diagnosed with acute fatty liver of pregnancy in only 1 case, Such cases are rare, the prognosis is poor. The reported death rate at home and abroad is about 82 ~ 90%. Now in our hospital in 1973 occurred in 1 case reported as follows: medical records summary Sha × ×, female, 25 years old, workers, hospital number 5742. Due to menopause 34 weeks, high blood pressure, lower extremity edema with abdominal pain, nausea and vomiting for 5 hours on April 19, 1973 admission. Patients for the first pregnancy, the last menstruation in late August 1972, the expected date of early June 1973. Postmenopausal appetite poor, nausea, dizziness and other early pregnancy reactions, poor pregnancy started in July, between dizziness, vertigo, prenatal check in a hospital that is normal, more than 10 days before admission to a mouth