Mendoza H, Pueyo A, Acha V, Jiménez E, Larequi A, Jiménez C, García Bragado F
Servicio de Medicina Interna, Hospital Virgen del Camino, Pamplona.
Gastroenterol Hepatol. 1996 Mar;19(3):159-61.
The case of a 32-years-old primipara in her thirty-second week of pregnancy who presented acute epigastric pain, citopenia, elevation in hepatic enzymes and analytical signs of hemolysis is presented. Ultrasonography demonstrated multiple hyperechogenic nodular images in the liver leading to a wide differential diagnosis. Liver biopsy findings, together with the mentioned clinico-biological alterations were indicative of the HELLP syndrome. Following caesarean, the patient presented rapid and total, symptomatic and analytical, improvement. Based on this case, a review of this entity in the literature and its prognostic implications and possible therapeutic approaches are reported.
本文报告了一例32岁初产妇，在妊娠第32周时出现急性上腹部疼痛、血细胞减少、肝酶升高及溶血的分析指标。超声检查显示肝脏有多个高回声结节图像，导致鉴别诊断范围广泛。肝活检结果，连同上述临床生物学改变，提示为HELLP综合征。剖宫产术后，患者症状和分析指标迅速且完全改善。基于该病例，本文对文献中该疾病实体及其预后意义和可能的治疗方法进行了综述。
