Strauss H G, Scheler C, Röpke F
Klinik für Geburtshilfe und Reproduktionsmedizin, Martin-Luther-Universität Halle-Wittenberg.
Zentralbl Gynakol. 1994;116(4):210-2.
We show by two case reports, that the HELLP-syndrome is the most severe form of pre-eclampsia and associated with a relative high maternal and perinatal mortality because of the sudden onset of the complications. In the first case report we describe the development of this syndrome after two eclamptical convulsions on the 6th day of puerperal period. A similar case has not been published yet in all literature. In the second report a mother died by rupture of the capsule of liver because of the HELLP-syndrome 72 hours after Section caesarea. We want to show, that caesarean section cannot avoid this complication. It is not in all cases the most advantageous procedure of delivery in patients with HELLP-syndrome.
我们通过两例病例报告表明，HELLP综合征是子痫前期最严重的形式，由于并发症突然发作，其孕产妇和围产儿死亡率相对较高。在第一例病例报告中，我们描述了该综合征在产褥期第6天两次子痫抽搐后发生的情况。在所有文献中尚未发表过类似病例。在第二例报告中，一位母亲在剖宫产术后72小时因HELLP综合征导致肝包膜破裂死亡。我们想表明，剖宫产不能避免这种并发症。对于患有HELLP综合征的患者，剖宫产并非在所有情况下都是最有利的分娩方式。
