Barton J R, Sibai B M
Central Baptist Hospital, Lexington, Kentucky.
Gastroenterol Clin North Am. 1992 Dec;21(4):937-50.
Pregnancies complicated by HELLP syndrome require a well-formulated management plan. The development of this syndrome after 34 weeks' gestation or with documentation of fetal lung maturity is an indication for delivery. Vaginal delivery can be accomplished in most cases; however, if cesarean section is required, the use of general anesthesia, subfascial drains, and preoperative platelet transfusion for platelet counts less than 50,000/mm3 can reduce the incidence of complications. It is advisable that patients with complications of HELLP syndrome such as pulmonary edema, acute renal failure, liver rupture, or extreme prematurity be referred to a tertiary care center where maternal and neonatal intensive care facilities are available.
并发HELLP综合征的妊娠需要精心制定管理计划。妊娠34周后出现该综合征或有胎儿肺成熟的记录是分娩的指征。大多数情况下可经阴道分娩；然而，如果需要剖宫产，对于血小板计数低于50,000/mm³ 的情况，使用全身麻醉、筋膜下引流管和术前血小板输注可降低并发症的发生率。建议将患有HELLP综合征并发症（如肺水肿、急性肾衰竭、肝破裂或极早产）的患者转诊至具备母婴重症监护设施的三级医疗中心。
