Wu Vin-Cent, Lin Shuei-Liong, Tsai Chien-Chen, Tien Hwei-Fang
Department of Internal Medicine, En Chu Kong Hospital, Taipei, Taiwan.
J Formos Med Assoc. 2002 Dec;101(12):868-70.
Postpartum hemolytic uremic syndrome (HUS) is an unusual complication that presents with microangiopathic hemolytic anemia, thrombocytopenia, and acute renal failure after delivery. In this report, we describe a 32-year-old patient (gravida 3, para 1, artificial abortion 1) who developed postpartum HUS following abruptio placenta. After cesarean delivery due to abruptio placenta, the patient developed acute renal failure, microangiopathic hemolytic anemia, and thrombocytopenia followed by hypertension. Plasma exchange led to recovery from thrombocytopenia and improvement in renal function. This case highlights the importance of observation of peripheral blood smears in patients with abruptio placenta who develop thrombocytopenia after delivery.
产后溶血性尿毒症综合征（HUS）是一种罕见的并发症，表现为分娩后出现微血管病性溶血性贫血、血小板减少和急性肾衰竭。在本报告中，我们描述了一名32岁患者（孕3产1，人工流产1次），该患者在胎盘早剥后发生了产后HUS。因胎盘早剥行剖宫产术后，患者出现急性肾衰竭、微血管病性溶血性贫血和血小板减少，随后出现高血压。血浆置换使血小板减少症得以恢复，肾功能得到改善。该病例强调了对产后出现血小板减少的胎盘早剥患者进行外周血涂片观察的重要性。
