重度子痫前期合并HELLP综合征的临床研究

Clinical research of severe preeclampsia HELLP syndrome

目的:探讨重度子痫前期合并HELLP(hemolysis elevated lliver enzymes and low platelet count syndrome)综合征患者的临床表现以及诊断治疗。方法:对本院51例重度子痫前期合并HELLP综合征患者的临床资料进行回顾性的分析总结,并就其临床表现,母婴并发症以及分娩的结局进行对比分析。结果:Ⅰ级组22例HELLP综合征的患者在LDH、临床并发症的发生率以及围生儿的死亡率方面均明显的高于Ⅱ级组29例患者(P<0.05)。结论:临床HELLP综合征为重度妊娠高血压严重的并发症,并且相对于Ⅱ级HELLP综合征而言,Ⅰ级的临床病情更为严重,因而要进行及时的诊治,适时予以终止妊娠,方可降低母婴的死亡率。

Objective:To investigate the combination of severe preeclampsia and HELLP(hemolysis elevated lliver enzymes and low platelet count syndrome) and clinical manifestations of patients with the diagnosis and treatment.Methods:51 cases in our hospital of severe preeclampsia HELLP syndrome combined clinical data were retrospectively analyzed and summarized,and on its clinical presentation,maternal complications and birth outcomes were compared.Results:Ⅰ-class group of 22 patients with HELLP syndrome in patients with LDH,the incidence of clinical complications and perinatal mortality rates were significantly higher than grade Ⅱ group of 29 patients(P<0.05).Conclusion:Clinical HELLP syndrome,a serious complication of severe pregnancy-induced hypertension and HELLP syndrome compare in terms of grade Ⅱ,Ⅰ grade more severe clinical illness,and thus to timely diagnosis and treatment,to be timely termination of pregnancy before reduce maternal and infant mortality.