Almuhaytib Fahimah A, AlKishi Nihad A, Alyousif Zainab M
Medicine, King Faisal University, Al-Ahsa, SAU.
Obstetrics and Gynecology, Maternity and Children Hospital, Al-Ahsa, SAU.
Cureus. 2023 Jan 18;15(1):e33919. doi: 10.7759/cureus.33919. eCollection 2023 Jan.
Preeclampsia is a life-threatening illness during pregnancy. The main signs of preeclampsia are high blood pressure and proteinuria. Most cases of preeclampsia occur in the third trimester after 32 weeks and affect nulliparous women. Preeclampsia can lead to many serious complications, including the death of both the mother and fetus. In this case report, we reported a case of a 34-year-old Saudi woman, gravid 6 para 4 + 1 abortion, at 22 weeks by ultrasonography (US). Complained of a rare condition of early preeclampsia with hemolysis, elevated liver enzymes, low platelets (HELLP) syndrome, and intrauterine growth restriction (IUGR) due to placental insufficiency in the second trimester of pregnancy This pregnancy was terminated due to maternal risks. In conclusion, we can consider the importance of blood pressure screening in the early stages of pregnancy in the first or second trimester.
子痫前期是妊娠期一种危及生命的疾病。子痫前期的主要体征是高血压和蛋白尿。大多数子痫前期病例发生在孕32周后的妊娠晚期，且影响初产妇。子痫前期可导致许多严重并发症，包括母亲和胎儿死亡。在本病例报告中，我们报告了一例34岁的沙特女性，孕6产4 + 1流产，经超声检查妊娠22周。患者因妊娠中期胎盘功能不全，出现罕见的早发型子痫前期伴溶血、肝酶升高、血小板减少（HELLP）综合征及胎儿生长受限（IUGR）。因母亲风险，此次妊娠终止。总之，我们可以认识到在妊娠早期（孕早期或孕中期）进行血压筛查的重要性。
