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本文引用的文献

1
Expectant management in pregnancies with severe pre-eclampsia.重度子痫前期妊娠的期待治疗
Semin Perinatol. 2009 Jun;33(3):143-51. doi: 10.1053/j.semperi.2009.02.002.
2
Comparisons of maternal and perinatal outcomes in Taiwanese women with complete and partial HELLP syndrome and women with severe pre-eclampsia without HELLP.台湾患有完全性和部分性HELLP综合征的女性与患有重度子痫前期但无HELLP的女性的孕产妇及围产期结局比较。
J Obstet Gynaecol Res. 2006 Dec;32(6):550-8. doi: 10.1111/j.1447-0756.2006.00468.x.
3
Neonatal outcome after preterm delivery in HELLP syndrome.HELLP综合征早产后的新生儿结局
Yonsei Med J. 2006 Jun 30;47(3):393-8. doi: 10.3349/ymj.2006.47.3.393.
4
Risk factors for post-partum complications occurring after preeclampsia and HELLP syndrome. A study in 453 consecutive pregnancies.先兆子痫和HELLP综合征后发生产后并发症的危险因素。对453例连续妊娠的研究。
Eur J Obstet Gynecol Reprod Biol. 2006 Mar 1;125(1):59-65. doi: 10.1016/j.ejogrb.2005.07.011. Epub 2005 Aug 22.
5
Corticosteroids for HELLP (haemolysis, elevated liver enzymes, low platelets) syndrome.用于治疗HELLP（溶血、肝酶升高、血小板减少）综合征的皮质类固醇。
BMJ. 2004 Jul 31;329(7460):270-2. doi: 10.1136/bmj.329.7460.270.
6
Diagnosis, controversies, and management of the syndrome of hemolysis, elevated liver enzymes, and low platelet count.溶血、肝酶升高和血小板计数降低综合征的诊断、争议及管理
Obstet Gynecol. 2004 May;103(5 Pt 1):981-91. doi: 10.1097/01.AOG.0000126245.35811.2a.
7
Intravascular hemolysis, thrombocytopenia and other hematologic abnormalities associated with severe toxemia of pregnancy.血管内溶血、血小板减少及其他与重度妊娠毒血症相关的血液学异常。
N Engl J Med. 1954 Jan 21;250(3):89-98. doi: 10.1056/NEJM195401212500301.
8
A current concept of eclampsia.子痫的当前概念。
Am J Emerg Med. 2003 May;21(3):223-6. doi: 10.1016/s0735-6757(02)42241-3.
9
Clinical and biophysical aspects of HELLP-syndrome.HELLP综合征的临床和生物物理方面
J Perinat Med. 2002;30(6):483-9. doi: 10.1515/JPM.2002.076.
10
Pregnancy complicated by pre-eclampsia-eclampsia with HELLP syndrome.妊娠合并先兆子痫-子痫伴HELLP综合征。
Int J Gynaecol Obstet. 2001 Jan;72(1):17-23. doi: 10.1016/s0020-7292(00)00281-2.

伴有HELLP综合征的女性与不伴有HELLP综合征的重度子痫前期女性的母婴结局比较。

Comparison of maternal and neonatal outcomes in women with HELLP syndrome and women with severe preeclampsia without HELLP syndrome.

作者信息

Turgut Abdulkadir, Demirci Oya, Demirci Elif, Uludoğan Mehmet

机构信息

Zeynep Kamil Gynecologic and Pediatric Training and Research Hospital, Department of Obstetrics and Gynecology, Istanbul, Turkey.

出版信息

J Prenat Med. 2010 Jul;4(3):51-8.

PMID:22439062
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3279181/
Abstract

OBJECTIVE

To examine and to compare postpartum maternal and neonatal complications and morbidities in women with HELLP syndrome (HELLP group) and women with severe preeclampsia without HELLP syndrome (severe preeclamptic group).

METHODS

In this retrospective study, 111 patients in the HELLP group were matched with 467 patients in the severe preeclamptic group according to maternal and neonatal complications and morbidities.

RESULTS

The rate of transfusion of blood products and acute renal failure was significantly greater in women with HELLP syndrome. One maternal mortality (0.9 % ) was found in women withHELLP syndrome, and no maternal mortality in women in severe preeclamptic group a. There were significant differences between the HELLP group and the severe preeclamptic group in neonatal mortality and morbidity. It was found that HELLP syndrome cases had significantly lower gestational age and fetal bodyweight. The simultaneous presence of HELLP syndrome and preeclampsia, along with oliguria, ascites, thrombocytopenia, elevated liver enzymes and caesarean delivery, was associated with post-partum complications.

CONCLUSION

This study shows that maternal and neonatal morbidity and mortality are increased in pregnancies complicated by severe preeclampsia with HELLP syndrome. Neonatal mortality and morbidity appear to be influenced primarily by gestational age at delivery.

摘要

目的

研究并比较伴有HELLP综合征的产妇（HELLP组）和伴有重度子痫前期但无HELLP综合征的产妇（重度子痫前期组）产后的母婴并发症及发病情况。

方法

在这项回顾性研究中，根据母婴并发症及发病情况，将111例HELLP组患者与467例重度子痫前期组患者进行匹配。

结果

HELLP综合征患者的血液制品输注率和急性肾衰竭发生率显著更高。HELLP综合征患者中有1例产妇死亡（0.9%），重度子痫前期组无产妇死亡。HELLP组与重度子痫前期组在新生儿死亡率和发病率方面存在显著差异。发现HELLP综合征病例的孕周和胎儿体重显著更低。HELLP综合征与子痫前期同时存在，以及少尿、腹水、血小板减少、肝酶升高和剖宫产，与产后并发症相关。

结论

本研究表明，重度子痫前期合并HELLP综合征的妊娠会增加母婴发病率和死亡率。新生儿死亡率和发病率似乎主要受分娩时孕周的影响。