HELLP综合征1例并文献复习

HELLP syndrome:a case report and literature review

HELLP综合征是以溶血、肝酶升高和血小板减少为典型特点的妊娠期严重并发症。一经发生,母儿预后结局差,甚或导致围产期母儿病死。近年来尽管产科临床医生对于HELLP综合征的认识水平在不断提高,但仍存在一定的漏诊率。及时准确的诊断及处理是诊治HELLP综合征和降低母儿病死率的关键。本文报道1例子痫前期进展为HELLP综合征的患者,该患者为子痫前期基础上发病,检验指标十分典型,病情进展迅速,临床及时采取终止妊娠,母儿结局良好。临床检验结果及临床表现为将来疾病诊断及诊疗方案选择提供了充实的理论支持。

Hemolysis,elevated liver function and low platelet count syndrome(HELLP)is a serious complication of pregnancy characterized by hemolysis,elevated liver function and low platelet count syndrome.Once it occurs,the prognosis of mother and infant is poor,or even lead to perinatal maternal and fetal mortality.In recent years,although the level of understanding of HELLP syndrome by obstetrical clinicians is constantly improving,there is still a certain rate of missed diagnosis.Timely and accurate diagnosis and treatment is the key to diagnose and treat HELLP syndrome and reduce maternal and infant mortality rates.A case of HELLP syndrome diagnosed as preeclampsia is reported in this paper.The patient developed on the basis of preeclampsia,with typical testing indices,rapid condition progress,timely termination of pregnancy in clinic,and good m aternal and fetal outcomes.The clinical testing results and clinical manifestations provide substantial theoretical support for future disease diagnosis and treatment scheme selection.