Clark S L, Phelan J R, Allen S H, Golde S R
J Reprod Med. 1986 Jan;31(1):70-2.
The "HELLP syndrome" refers to the occurrence of thrombocytopenia, elevated liver enzymes and, at times, hemolysis in patients with preeclampsia. Although uncontrolled series have reported a reversal of thrombocytopenia and elevated liver enzymes with aspirin and colloid infusion, most authors recommend that delivery be done soon after the diagnosis is made. The abnormal laboratory parameters of the HELLP syndrome may be reversed completely with bed rest alone, and with preterm gestations, conservative management may be possible.
“HELLP综合征”指的是先兆子痫患者出现血小板减少、肝酶升高,有时还伴有溶血。尽管非对照系列研究报告称,阿司匹林和胶体输注可使血小板减少和肝酶升高得到缓解,但大多数作者建议在确诊后尽快分娩。HELLP综合征异常的实验室指标可能仅通过卧床休息就完全恢复正常,对于早产情况,保守治疗或许可行。