Brunner A, Geiss I, Ihra S, Riss P
Abteilung für Gynäkologie und Geburtshilfe, Landeskrankenhaus Mödling/Wien, Osterreich.
Z Geburtshilfe Perinatol. 1994 May-Jun;198(3):108-11.
In recent years the syndrome of hemolysis, elevated liver enzymes and low platelets (H-ELLP) has attracted increasing interest in obstetrics as a serious complication of pregnancy, either alone or in combination with the classical symptoms of EPH-gestosis or eclampsia. In 1993, we observed 3 cases of severe HELLP syndrome in a total of 1126 deliveries. We present the clinical characteristics and the laboratory findings in these cases. A common symptom was general malaise and upper abdominal discomfort or pain. All patients were delivered by cesarean section of healthy infants. We conclude that it is no longer sufficient to emphasize edema, proteinuria and hypertension, but that the signs and symptoms of the HELLP syndrome present a new and increasingly important challenge in obstetric practice.
近年来，溶血、肝酶升高和血小板减少综合征（H-ELLP）作为妊娠的一种严重并发症，无论是单独出现还是与先兆子痫或子痫的典型症状同时出现，在产科领域都引起了越来越多的关注。1993年，在总共1126例分娩中，我们观察到3例严重的HELLP综合征。我们展示了这些病例的临床特征和实验室检查结果。一个常见症状是全身不适和上腹部不适或疼痛。所有患者均通过剖宫产分娩出健康婴儿。我们得出结论，仅强调水肿、蛋白尿和高血压已不再足够，HELLP综合征的体征和症状在产科实践中提出了一个新的且日益重要的挑战。
