Argueta Zúñiga M, Neri Méndez C, Lira Plascencia J, Ibargüengoitia F, Vázquez Juárez M E
Instituto Nacional de Perinatología, México, D.F.
Ginecol Obstet Mex. 1995 May;63:217-21.
We studied 36 patients with Hellp syndrome and her newborn during seven years in the National Institute of Perinatology (INPer). The objective of this study is show the epidemiology and clinic features, unite diagnostic criteria and classification, furthermore establish morbidity and mortality maternal and perinatal. The 44.6% (16/36) was type I, and 55.6% (20) was type II. The average of pregnancies was 3. The 38.9% (14/36) received regular prenatal control. Both types were more common in patients with preterm pregnancies, between 28-36 weeks. The patients with severe preeclampsia and eclampsia were more common. The cases with type I had more complications and stayed on hospital more time. The maternal mortality was 5.55%. Perinatal outcomes were unsatisfactory, with high incidence of asphyxiated newborn. The newborn of patients with type I had more severe complications and stayed more time on the hospital. The perinatal mortality was 32.43%.
我们在国立围产医学研究所（INPer）对36例患有Hellp综合征的患者及其新生儿进行了为期7年的研究。本研究的目的是展示其流行病学和临床特征，统一诊断标准和分类，此外确定孕产妇和围产儿的发病率和死亡率。44.6%（16/36）为I型，55.6%（20例）为II型。平均妊娠次数为3次。38.9%（14/36）接受了常规产前检查。两种类型在28至36周的早产患者中更为常见。重度子痫前期和子痫患者更为常见。I型病例有更多并发症，住院时间更长。孕产妇死亡率为5.55%。围产儿结局不理想，新生儿窒息发生率高。I型患者的新生儿有更严重的并发症，住院时间更长。围产儿死亡率为32.43%。
