Ulman J, Ulman-Doniec I
Wiad Lek. 1989;42(16-18):952-5.
On the basis of a literature review the extremely severe form of EPH gestosis--the HELLP syndrome is described. In the clinical manifestations of the syndrome a symptom triad predominates: haemolytic anaemia, raised values of hepatic enzymes and thrombocytopenia. The only causative treatment saving the life of the mother and fetus is possibly early termination of pregnancy and adequate supplementation of blood deficiency. The pathophysiology, clinical manifestations, differential diagnosis and treatment of the HELLP syndrome are discussed.
基于文献综述,描述了妊娠高血压综合征的极严重形式——HELLP综合征。该综合征的临床表现以三联征为主:溶血性贫血、肝酶升高和血小板减少。挽救母婴生命的唯一病因治疗方法可能是早期终止妊娠并充分补充血液不足。文中讨论了HELLP综合征的病理生理学、临床表现、鉴别诊断和治疗。