Rojas-Poceros G, López-Rivadeneyra E, Viveros-Rentería E, Reyes-Cuervo H, Kably-Ambe A
Servicio de Ginecoobstetricia, Hospital A.B.C. Méx., D.F.
Ginecol Obstet Mex. 1995 Nov;63:448-51.
Two extreme cases of pregnancy-induced hypertension with puerperal HELLP syndrome are presented and the literature is review. HELLP is an English acronym, for describing the preeclamptic or eclamptic patient, who also has hemolysis, elevated hepatic enzymes and low platelets. Its etiology has not been elucidated, but it has been accepted the theory of dysequilibrium in prostanoid metabolism. It has an incidence of 5 to 15% among patients with pregnancy-induced hypertension. Maternal mortality is about 10 to 28% and neonatal of 40%. Owing to fatal complications, treatment consist of interrupting pregnancy. Point out the importance of early detection of this clinic entity, which improves maternal-fetal prognosis.
本文介绍了两例妊娠高血压综合征合并产后HELLP综合征的极端病例，并对相关文献进行了综述。HELLP是一个英文缩写词，用于描述患有溶血、肝酶升高和血小板减少的先兆子痫或子痫患者。其病因尚未阐明，但前列腺素代谢失衡理论已被广泛接受。在妊娠高血压综合征患者中，其发病率为5%至15%。孕产妇死亡率约为10%至28%，围产儿死亡率为40%。由于存在致命并发症，治疗方法包括终止妊娠。指出早期发现这种临床病症的重要性，这有助于改善母婴预后。
