Martínez Abundis E, Angulo Vazquez J, Vargas Gonzalez A, Rodríguez Arias E A
Ginecol Obstet Mex. 1989 Dec;57:325-8.
One of the known complications of the patient with preeclamptic or eclamptic disease is the subcapsular hepatic hematoma, caused mainly by the development of disseminated intravascular coagulation. When such hematoma ruptures to the abdominal cavity mortality is high. Nevertheless, there are reports of survival, depending on a prompt and accurate diagnosis and a prompt surgical approach. In this article, a case of a patient with a postpartum severe pre-eclampsia is presented. She was diagnosed as a HELLP syndrome complicated by a disseminated intravascular coagulation and a subcapsular hepatic hematoma by clinic and supported by lab and confirmed by ultrasound, who had a satisfactory outcome.
先兆子痫或子痫患者已知的并发症之一是肝包膜下血肿，主要由弥散性血管内凝血的发展引起。当这种血肿破裂至腹腔时，死亡率很高。然而，也有关于存活的报道，这取决于及时准确的诊断和及时的手术治疗。本文介绍了一例产后重度先兆子痫患者的病例。通过临床诊断、实验室检查支持及超声确认，她被诊断为伴有弥散性血管内凝血和肝包膜下血肿的HELLP综合征，最终获得了满意的治疗结果。
