“HELLP综合征”疾病分类设定的新问题。

New issues for nosografic setting of "HELLP syndrome".

作者信息

Vegna G, Leone S, Sorrentino M, Lentini G, Guglielmo L, Mercadante S

机构信息

Buccheri La Ferla Fatebenefratelli Hospital of Palermo, Obstetrics and Gynecology Department.

出版信息

Acta Eur Fertil. 1989 Mar-Apr;20(2):99-100.

PMID:2800936

Abstract

In 1982 Weinstein reported a syndrome marked by Hemolysis, Elevated Liver enzymes, Low Platelets (HELLP Syndrome). Following that report a critical review by MacKenna & Coll. reported that typical signs of the syndrome (observed in 223 cases of preeclampsia) were related to the preeclampsia so denying any nosografic autonomy to it. This report was confirmed by Killan that in 1974 described the classic HELLP syndrome as a complication of hypertensive syndrome in pregnancy. Our case report presents some patterns that may contribute to acquire new data in order to place the HELLP syndrome in its appropriate nosografic allocation.

摘要

1982年，温斯坦报告了一种以溶血、肝酶升高、血小板减少为特征的综合征（HELLP综合征）。在该报告之后，麦肯纳及其同事进行了一项批判性综述，报告称该综合征的典型症状（在223例先兆子痫病例中观察到）与先兆子痫有关，因此否认其有任何疾病分类学上的自主性。基兰在1974年将经典的HELLP综合征描述为妊娠高血压综合征的一种并发症，这证实了该报告。我们的病例报告呈现了一些模式，可能有助于获取新数据，以便将HELLP综合征置于其适当的疾病分类位置。