印度中部农村地区一名新冠后出现溶血、肝酶升高和血小板减少（HELLP）综合征患者的麻醉管理：惊险一刻。

Anesthetic Management in a Post-COVID Hemolysis, Elevated Liver Enzymes, and Low Platelet Count (HELLP) Patient in Rural Central India: A Close Shave.

作者信息

Bhardwaj Yatharth, Chakole Vivek, Singam Amol, Madaan Sparsh

机构信息

Department of Anesthesia, Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Sciences (Deemed to be University), Wardha, IND.

Department of Obstetrics and Gynecology, Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Sciences (Deemed to be University), Wardha, IND.

出版信息

Cureus. 2022 Apr 16;14(4):e24196. doi: 10.7759/cureus.24196. eCollection 2022 Apr.

DOI:10.7759/cureus.24196

PMID:35602790

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9117820/

Abstract

Hemolysis, elevated liver enzymes, and low platelet count (HELLP) syndrome is a dangerous complication of pregnancy amounting to significant mortality and morbidity. While conducting a cesarean delivery for such cases special care and consideration have to be taken in order to prevent maternal mortality. Thrombocytopenia is a significant abnormality that has to be weighed before induction in cases of HELLP syndrome with no clear cut-off value for the administration of neuraxial anesthesia. This case report aimed to explain the anesthetic management of a case with an indication for an emergency cesarean delivery.

摘要

溶血、肝酶升高和血小板减少（HELLP）综合征是妊娠的一种危险并发症，可导致显著的死亡率和发病率。对于此类病例进行剖宫产时，必须格外小心并予以充分考虑，以防止产妇死亡。血小板减少是一种严重异常情况，在无明确的神经轴索麻醉给药临界值的HELLP综合征病例中，诱导麻醉前必须权衡这一情况。本病例报告旨在阐述一例有急诊剖宫产指征病例的麻醉管理。