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[HELLP综合征:病例回顾与报告]

[HELLP syndrome: review and report of a case].

作者信息

Maia Filho N L, Mathias L, de Divitis M J, Lega A, Hiar J, Dos Santos M A

机构信息

Faculdade de Medicina de Jundiaí, SP.

出版信息

Rev Paul Med. 1991 May-Jun;109(3):134-9.

PMID:1947610
Abstract

PURPOSE

to review the literature for a serious disease and present a case in order to caution specialists concerning the need for early and accurate diagnosis. TYPE: literature review and retrospective study of a case.

PLACE

Hospital of Specialized Clinics of Franco da Rocha, of the Jundiaí School of Medicine.

PATIENTS

one patient admitted to the School Hospital.

RESULTS

review and clinical observation.

CONCLUSIONS

the authors conclude that publication of this case is important because despite the typical features, attending physicians had difficulties in terms of diagnosis and treatment. They describe symptoms which are characteristic of HS associated to preeclampsia and eclampsia, and they caution to the importance of patient complaints of epigastric and right hypochondrium pain. They also alert to the importance of a correct approach (clinical, US scanning, and laboratory tests) for diagnosis and early treatment.

摘要

目的

回顾关于一种严重疾病的文献并呈现一个病例,以提醒专家注意早期准确诊断的必要性。

类型

文献综述及病例回顾性研究。

地点

容迪亚伊医学院弗朗哥·达罗查专科医院。

患者

一名入住该校医院的患者。

结果

文献综述及临床观察。

结论

作者得出结论,该病例的发表很重要,因为尽管有典型特征,但主治医生在诊断和治疗方面仍有困难。他们描述了与先兆子痫和子痫相关的遗传性痉挛性截瘫的特征性症状,并提醒注意患者上腹部和右季肋部疼痛主诉的重要性。他们还提醒正确的诊断方法(临床、超声扫描和实验室检查)对于早期治疗的重要性。

相似文献

1
[HELLP syndrome: review and report of a case].[HELLP综合征:病例回顾与报告]
Rev Paul Med. 1991 May-Jun;109(3):134-9.
2
[Hemolysis, elevated liver enzymes and thrombocytopenia: the HELLP syndrome--a manifestation of severe pre-eclampsia].溶血、肝酶升高和血小板减少:HELLP综合征——重度子痫前期的一种表现
Ugeskr Laeger. 1991 May 6;153(19):1339-43.
3
Preeclampsia/eclampsia with hemolysis, elevated liver enzymes, and thrombocytopenia.伴有溶血、肝酶升高和血小板减少的子痫前期/子痫
Obstet Gynecol. 1985 Nov;66(5):657-60.
4
[Upper abdominal pain and pre-eclampsia--HELLP syndrome].
Ugeskr Laeger. 1990 Oct 1;152(40):2931-2.
5
[Is it necessary to specify the HELLP syndrome?].
J Gynecol Obstet Biol Reprod (Paris). 1987;16(6):765-71.
6
Thrombocytopenia with the HELLP syndrome. Report of two cases with reversal in normotensive and nonproteinuric gravidas.血小板减少症合并HELLP综合征。两例血压正常且无蛋白尿孕妇病情逆转的报告。
J Reprod Med. 1998 Mar;43(3):227-9.
7
[HELLP syndrome. Clinical report].[溶血、肝酶升高和血小板减少综合征。临床报告]
Minerva Ginecol. 1989 Oct;41(10):525-7.
8
Factors that influence morbidity and mortality in severe preeclampsia, eclampsia and hemolysis, elevated liver enzymes, and low platelet count syndrome.影响重度子痫前期、子痫及溶血、肝酶升高和血小板减少综合征发病率及死亡率的因素。
Saudi Med J. 2006 Jul;27(7):1015-8.
9
[Importance of thrombocytopenia for the management of HELLP syndrome: a report of 104 cases].
J Gynecol Obstet Biol Reprod (Paris). 2003 Oct;32(6):541-8.
10
[Remnant portion of the tube in ectopic pregnancy: review and report of a case].[异位妊娠中输卵管的残留部分:病例回顾与报告]
Rev Paul Med. 1991 Sep-Oct;109(5):232-6.