Castriconi M, Aragiusto G, Ansalone M, Aloj G, Grasso A, Bartone G, Renda F
Dipartimento di Emergenza, Azienda Ospedaliera di Rilievo Nazionale A. Cardarelli, Napoli.
Minerva Chir. 2000 Mar;55(3):167-71.
Liver rupture and hemorrhage, are the most unusual and serious complications of HELLP syndrome (hemolysis--elevated liver enzymes--low platelet count). The management should be aggressive by treating coagulopathy and favouring a prompt delivery. Liver rupture remains a surgical emergency with control of bleeding based on trauma surgery. The aggressive approach to the management of these patients led to a remarkable decrease of mortality rates.
肝破裂和出血是溶血、肝酶升高和血小板减少综合征（HELLP综合征）最罕见且最严重的并发症。治疗应积极，纠正凝血功能障碍并促进尽快分娩。肝破裂仍是外科急症，需根据创伤外科原则控制出血。对这些患者采取的积极治疗方法使死亡率显著降低。
