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双侧浆液性视网膜脱离:HELLP综合征的一种罕见并发症。

Bilateral serous retinal detachment: an unusual complication of HELLP syndrome.

作者信息

Haque Obaid Imtiyazul, Waris Abdul, Rizvi Syed Asghar

机构信息

Institute of Ophthalmology, Jawaharlal Nehru Medical College & Hospital, Aligarh, Uttar Pradesh, India.

Institute of Ophthalmology, Jawaharlal Nehru Medical College & Hospital, Aligarh, Uttar Pradesh, India

出版信息

BMJ Case Rep. 2021 Mar 2;14(3):e233282. doi: 10.1136/bcr-2019-233282.

Abstract

A 23-year-old primigravida presented to the emergency department with reports of headache. On examination, her blood pressure was found to be 190/140 mm Hg. Her laboratory results were notable for proteinuria, deranged liver function and low platelets. She was diagnosed with HELLP syndrome and was delivered via caesarean section. She noticed diminution of vision 2 days after delivery. Fundus examination revealed bilateral serous retinal detachment involving the maculae. She was managed conservatively and had complete recovery of her vision by 3 weeks postpartum.

摘要

一名23岁的初产妇因头痛症状前往急诊科就诊。检查发现她的血压为190/140毫米汞柱。她的实验室检查结果显示有蛋白尿、肝功能紊乱和血小板减少。她被诊断为HELLP综合征,并通过剖宫产分娩。产后2天,她发现视力下降。眼底检查显示双侧浆液性视网膜脱离,累及黄斑区。她接受了保守治疗,产后3周视力完全恢复。

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