Shrivastava Vineet K, Imagawa David, Wing Deborah A
Department of Obstetrics-Gynecology, Division of Maternal-Fetal Medicine, University of California-Irvine Medical Center, Orange, California 92868, USA.
Obstet Gynecol. 2006 Feb;107(2 Pt 2):525-6. doi: 10.1097/01.AOG.0000187954.45956.f1.
We present a case of hepatic rupture secondary to hemolysis, elevated liver enzymes, low platelets (HELLP) syndrome and the novel use of the argon beam coagulator in achieving hemostasis.
The patient presented at 33 5/7 weeks of gestation with elevated liver transaminases, thrombocytopenia, and ultrasonographic findings consistent with hepatic rupture. She underwent an emergent cesarean delivery followed by exploration of her abdomen by hepatobiliary surgeons. An expanding hematoma with rupture of the right lobe of the liver was identified. The hematoma was unroofed, and hemostasis was obtained using the argon beam coagulator. The patient was discharged home in good condition 9 days after surgery.
With a multidisciplinary approach and the argon beam coagulator, we were able to achieve an excellent clinical outcome in a patient with hepatic rupture from HELLP syndrome.
我们报告一例继发于溶血、肝酶升高、血小板减少（HELLP）综合征的肝破裂病例，以及氩气刀在实现止血方面的新应用。
该患者在妊娠33 5/7周时出现肝转氨酶升高、血小板减少，超声检查结果符合肝破裂。她接受了紧急剖宫产，随后由肝胆外科医生进行腹部探查。发现肝脏右叶有一个不断扩大的血肿并有破裂。打开血肿，使用氩气刀实现了止血。患者术后9天情况良好出院。
通过多学科方法和氩气刀，我们在一名患有HELLP综合征肝破裂的患者中取得了优异的临床结果。
