Hackenberg R, Kussmann J, Schulz K D
Klinik für Frauenheilkunde und Geburtshilfe, Philipps-Universität Marburg.
Geburtshilfe Frauenheilkd. 1991 Apr;51(4):313-4. doi: 10.1055/s-2008-1026319.
A case of a ruptured haematoma of the liver with intra-abdominal bleeding is reported. The 26-year old primigravida was admitted in the 31st week of gestation because of a HELLP syndrome. She presented additional symptoms, that are considered typical for a HELLP syndrome, complicated by a ruptured haematoma of the liver: severe right upper-quadrant pain, decrease of haemoglobin content, enlarged liver with structural irregularities and free fluid in the abdominal cavity as examined by sonography. During Caesarean section, a subcapsular haematoma of the liver, combined with a 5 cm laceration of the organ surface, was found. The defect was closed with collagen gauze and clotted with fibrin. Additionally the liver was compressed by abdominal compression towels, which were removed 2 days later. The postoperative development was, in the main, complication free.
报告了一例肝血肿破裂伴腹腔内出血的病例。该26岁初产妇因HELLP综合征在妊娠第31周入院。她出现了一些被认为是HELLP综合征典型的附加症状，并伴有肝血肿破裂：右上腹剧痛、血红蛋白含量下降、肝脏肿大且结构不规则，超声检查发现腹腔内有游离液体。剖宫产术中发现肝脏包膜下血肿，伴有器官表面5厘米的裂伤。用胶原纱布封闭缺损并用纤维蛋白凝血。此外，用腹部压迫毛巾对肝脏进行压迫，两天后移除。术后主要无并发症发生。
