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肝包膜下血肿:溶血、肝酶升高和血小板减少(HELLP)综合征的一种罕见并发症,采用保守治疗。

Subcapsular Liver Hematoma: A Rare Complication of Hemolysis, Elevated Liver Enzymes, and Low Platelets (HELLP) Syndrome Managed Conservatively.

作者信息

Grigorakis Stylianos, Tzimas George N, Alexakis Chalent, Morea Beatrice E, Kontomitros Nikolaos

机构信息

Obstetrics and Gynaecology, Iaso Maternity Hospital, Athens, GRC.

Hepatobiliary Surgery, Hygeia Hospital, Athens, GRC.

出版信息

Cureus. 2022 Feb 9;14(2):e22058. doi: 10.7759/cureus.22058. eCollection 2022 Feb.

Abstract

HELLP syndrome is an acronym used, since 1982, to describe a combined disorder of the liver and coagulation cascade defined as pre-eclampsia in pregnant women with hemolytic anemia, an increase in liver enzymes, and a decrease in platelet count. Spontaneous liver rupture is an exceptionally rare and extremely severe, occasionally lethal, complication of pre-eclampsia - eclampsia and especially hemolysis, elevated liver enzymes, low platelets (HELLP) syndrome. The following report describes a case of a 48-year-old woman diagnosed with HELLP syndrome complicated by spontaneous liver rupture who was treated conservatively.

摘要

HELLP综合征是自1982年以来使用的一个首字母缩略词,用于描述肝脏和凝血级联的一种联合病症,定义为患有溶血性贫血、肝酶升高和血小板计数降低的孕妇的先兆子痫。自发性肝破裂是先兆子痫-子痫,尤其是溶血、肝酶升高、血小板减少(HELLP)综合征极为罕见且极其严重、偶尔致命的并发症。以下报告描述了一例48岁女性被诊断为并发自发性肝破裂的HELLP综合征并接受保守治疗的病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7194/8916545/6e205236ef01/cureus-0014-00000022058-i01.jpg

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