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HELLP综合征中的肝包膜下血肿:病例报告

Subcapsular Liver Hematoma in HELLP Syndrome: Case Report.

作者信息

Kapan Murat, Evsen Mehmet Siddik, Gumus Metehan, Onder Akin, Tekbas Guven

机构信息

Department of General Surgery, Dicle University Medical Faculty, Diyarbakir, Turkey.

Department of Obstetric and Gynaecology, Dicle University Medical Faculty, Diyarbakir, Turkey.

出版信息

Gastroenterology Res. 2010 Jun;3(3):144-146. doi: 10.4021/gr2010.04.178e. Epub 2010 May 20.

Abstract

Subcapsular liver hematoma, as a rare complication of HELLP syndrome, must be managed in a tertiary center for prompt recognition and treatment with close monitoring of hemodynamic and coagulation parameters, treatment of underlying disorders, and assessment by the imaging techniques. These patients underwent different therapeutic options varying from conservative therapy to operative management, including liver transplantation. As a choice of treatment, patients with HELLP syndrome can be followed up conservatively in stable hemodynamic conditions. In this report, we presented a 32-year-old woman with subcapsular liver hematoma secondary to HELLP syndrome managed conservatively.

摘要

肝包膜下血肿作为HELLP综合征的一种罕见并发症,必须在三级中心进行处理,以便迅速识别并治疗,同时密切监测血流动力学和凝血参数,治疗基础疾病,并通过影像学技术进行评估。这些患者接受了从保守治疗到手术治疗(包括肝移植)等不同的治疗方案。作为一种治疗选择,HELLP综合征患者在血流动力学稳定的情况下可进行保守随访。在本报告中,我们介绍了一名32岁继发于HELLP综合征的肝包膜下血肿女性患者,其接受了保守治疗。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9063/5139769/f57c00eef015/gr-03-144-g001.jpg

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