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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.

DOI:10.7759/cureus.22058
PMID:35340458
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8916545/
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
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7194/8916545/6e205236ef01/cureus-0014-00000022058-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7194/8916545/6e205236ef01/cureus-0014-00000022058-i01.jpg

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本文引用的文献

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Liver trauma: WSES 2020 guidelines.肝脏创伤：WSES 2020 指南。
World J Emerg Surg. 2020 Mar 30;15(1):24. doi: 10.1186/s13017-020-00302-7.
2
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Case Rep Womens Health. 2019 Dec 24;25:e00169. doi: 10.1016/j.crwh.2019.e00169. eCollection 2020 Jan.
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Hepatic rupture associated with preeclampsia, report of three cases and literature review.子痫前期相关的肝破裂：三例报告及文献复习
HELLP综合征继发肝破裂：三例病例的结局
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Laparoscopic cholecystectomy after conservative subcapsular hepatic hematoma management: A rare case report.保守治疗肝包膜下血肿后行腹腔镜胆囊切除术：1例罕见病例报告
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Subcapsular liver hematoma complicating HELLP syndrome: A case report and review of management strategies.并发HELLP综合征的肝包膜下血肿：一例报告及治疗策略综述
Case Rep Womens Health. 2023 Oct 28;40:e00561. doi: 10.1016/j.crwh.2023.e00561. eCollection 2023 Dec.
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A Rare Case of HELLP Syndrome with Hematomas of Spleen and Liver, Eclampsia, Severe Hypertension and Prolonged Coagulopathy-A Case Report.HELLP 综合征伴脾、肝血肿、子痫、重度高血压和凝血功能延长：一例罕见病例报告。
Int J Environ Res Public Health. 2022 Jun 23;19(13):7681. doi: 10.3390/ijerph19137681.
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Microcirculatory blood flow derangements during severe preeclampsia and HELLP syndrome.重度子痫前期和HELLP综合征期间的微循环血流紊乱。
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