Madsen Bjørn Stæhr, Havelund Troels
Lykkeshøj 20, Munkebo, Denmark.
Ugeskr Laeger. 2011 Jan 31;173(5):357-8.
The syndrome of haemolysis, elevated liver enzymes and low platelets (HELLP) is estimated to occur in 0.01-0.2% of pregnancies and is considered a severe form of preeclampsia. It is associated with considerable risk of maternal and foetal mortality. HELLP syndrome associated with antiphospholipid syndrome is known to occur early in the pregnancy. We report a case of severe HELLP syndrome complicated by multiple hepatic infarctions and portal vein thrombosis in the second trimester in a patient with antiphospholipid syndrome.
溶血、肝酶升高和血小板减少综合征(HELLP)据估计在0.01%-0.2%的妊娠中发生,被认为是子痫前期的一种严重形式。它与孕产妇和胎儿死亡的相当大风险相关。已知与抗磷脂综合征相关的HELLP综合征在妊娠早期发生。我们报告一例抗磷脂综合征患者在妊娠中期发生严重HELLP综合征并伴有多发性肝梗死和门静脉血栓形成的病例。