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肝包膜下血肿破裂:HELLP综合征的一种罕见并发症。

Ruptured Subcapsular Liver Hematoma: A Rare Complication of HELLP Syndrome.

作者信息

Singh Pratishtha, Warren Kayle, Collier Victor

机构信息

Department of Internal Medicine, Grand Strand Medical Center, Myrtle Beach, SC, USA.

出版信息

Case Reports Hepatol. 2020 Sep 16;2020:8836329. doi: 10.1155/2020/8836329. eCollection 2020.

DOI:10.1155/2020/8836329
PMID:33014483
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7516696/
Abstract

Subcapsular liver hematoma (SLH) is a rare complication of HELLP (hemolysis, elevated liver enzymes, low platelets) syndrome. We report a previously healthy 16-year-old female presenting with pre-eclampsia requiring emergent C-section, who developed immediate postoperative bleeding and abdominal distention. Abdominal computed tomography angiography (CTA) revealed a large encapsulated liver hematoma with active extravasation. The patient was successfully treated with a multidisciplinary approach with medical and surgical management.

摘要

肝包膜下血肿(SLH)是HELLP(溶血、肝酶升高、血小板减少)综合征的一种罕见并发症。我们报告一例既往健康的16岁女性,因先兆子痫需要紧急剖宫产,术后立即出现出血和腹胀。腹部计算机断层血管造影(CTA)显示一个巨大的包膜下肝血肿并有活动性外渗。该患者通过多学科方法进行药物和手术治疗后成功治愈。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bcf0/7516696/3e24c76f4b56/CRIHEP2020-8836329.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bcf0/7516696/301f7543ca3d/CRIHEP2020-8836329.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bcf0/7516696/3e24c76f4b56/CRIHEP2020-8836329.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bcf0/7516696/301f7543ca3d/CRIHEP2020-8836329.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bcf0/7516696/3e24c76f4b56/CRIHEP2020-8836329.002.jpg

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本文引用的文献

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HELLP syndrome, risk factors in first and second pregnancy: a population-based cohort study.HELLP 综合征,第一胎和第二胎的危险因素:基于人群的队列研究。
Acta Obstet Gynecol Scand. 2018 Jun;97(6):709-716. doi: 10.1111/aogs.13322. Epub 2018 Mar 25.
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Diagnosis and Management of HELLP Syndrome Complicated by Liver Hematoma.并发肝血肿的HELLP综合征的诊断与管理
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Risk factors and effective management of preeclampsia.子痫前期的危险因素及有效管理
一名患有肝破裂并伴有HELLP综合征的孕妇的多学科管理。
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The HELLP syndrome: clinical issues and management. A Review.HELLP综合征:临床问题与管理。综述。
BMC Pregnancy Childbirth. 2009 Feb 26;9:8. doi: 10.1186/1471-2393-9-8.
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Hepatic rupture after cesarean section in a patient with HELLP syndrome: a case report and review of the literature.1例HELLP综合征患者剖宫产术后肝破裂:病例报告及文献复习
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