Jagia Manish, Taqi Salah, Hanafi Mahmoud, Aisha Fakeir
Department of Anaesthesia and Intensive Care, Al Jahra Hospital, Kuwait.
Indian J Anaesth. 2013 Jan;57(1):62-5. doi: 10.4103/0019-5049.108568.
Thrombocytopenia-associated multiple organ failure (TAMOF) is a thrombotic microangiopathic syndrome that includes thrombotic thrombocytopenic purpura, secondary thrombotic microangiopathy, and disseminated intravascular coagulation. We report a case of postpartum female who presented with TAMOF or severe Haemolysis, elevated liver enzymes, low platelet count (HELLP) which was managed with plasma exchange. This case report is to make clinicians aware that TAMOF, severe HELLP, and other differential diagnosis in a postpartum case have a thin differentiating line and plasma exchange can be considered as one of the management options.
血小板减少相关的多器官功能衰竭（TAMOF）是一种血栓性微血管病综合征，包括血栓性血小板减少性紫癜、继发性血栓性微血管病和弥散性血管内凝血。我们报告一例产后女性患者，她出现了TAMOF或严重的溶血、肝酶升高、血小板计数降低（HELLP）综合征，通过血浆置换进行治疗。本病例报告旨在让临床医生意识到，产后病例中的TAMOF、严重HELLP及其他鉴别诊断之间的鉴别界限很细微，血浆置换可被视为治疗选择之一。
