[确诊或即将发生的HELLP综合征的血液学参数与预后。附12例病例报告]
[Hematological parameters and prognosis in established or imminent HELLP syndrome. Apropos of 12 case reports].
作者信息
Felley C, Knecht H, Grutter F, Hohlfeld P, Hauert J, Germond M, de Grandi P, Bossart H, Bachmann F
机构信息
Division d'hématologie, CHUV, Lausanne.
出版信息
Schweiz Med Wochenschr. 1990 Dec 15;120(50):1936-8.
We describe the clinical and biological characteristics of 12 pregnant women with the HELLP syndrome as defined by Weinstein in 1982 (H for hemolysis, EL for elevated liver enzymes and LP for low platelet count). The data demonstrate that this syndrome is an obstetric emergency threatening the lives of both mother and child. However, if delivery is prompt the prognosis is good. The suspicion of gestosis requires a hematological assessment (complete blood count and close examination of blood film, evaluation of hemostasis) as an essential component in therapeutic decisions.
我们描述了12例符合1982年温斯坦所定义的HELLP综合征（H代表溶血，EL代表肝酶升高，LP代表血小板计数降低）的孕妇的临床和生物学特征。数据表明，该综合征是一种威胁母婴生命的产科急症。然而，如果能迅速分娩，预后良好。对妊娠中毒症的怀疑需要进行血液学评估（全血细胞计数和仔细检查血涂片、评估止血情况），这是治疗决策的重要组成部分。
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