Veres Katalin, Papp Károly, Lakos Gabriella, Szomják Edit, Szegedi Gyula, Soltész Pál
Debreceni Egyetem, Orvos- és Egészségtudományi Centrum, III. sz. Belgyógyászati Klinika, Intenzív Osztály.
Orv Hetil. 2003 Jul 6;144(27):1353-6.
Authors report the case of a pregnant woman with antiphospholipid syndrome associated with HELLP syndrome. Pregnancy was terminated because of severe preeclampsia. However the patient's condition worsened. New symptoms of antiphospholipid syndrome developed (deep vein thrombosis, ischaemic optic lesion) and ARDS, therefore respiratory therapy was introduced. Plasmaphereses were performed concomitantly with high-dose intravenous immunoglobulin, glucocorticoid, cyclophosphamide and anticoagulant therapy. She responded to the therapy well, and eventually recovered completely. There are only a few case reports about pregnancies complicated with the association of antiphospholipid syndrome and HELLP syndrome. To authors' best knowledge, this is the first Hungarian report about this rare and curious association and it's successful treatment.
作者报告了一例患有抗磷脂综合征合并HELLP综合征的孕妇病例。因重度子痫前期终止妊娠。然而，患者病情恶化。出现了抗磷脂综合征的新症状（深静脉血栓形成、缺血性视神经病变）和急性呼吸窘迫综合征（ARDS），因此开始进行呼吸治疗。同时进行了血浆置换，并给予大剂量静脉注射免疫球蛋白、糖皮质激素、环磷酰胺和抗凝治疗。她对治疗反应良好，最终完全康复。关于抗磷脂综合征与HELLP综合征合并妊娠的病例报告很少。据作者所知，这是匈牙利关于这种罕见且特殊关联及其成功治疗的首例报告。
