Schwartz M L, Lien J M
Department of Obstetrics and Gynecology, Bess Kaiser Medical Center, Portland, OR, USA.
Am J Obstet Gynecol. 1997 Jun;176(6):1328-32; discussion 1332-3. doi: 10.1016/s0002-9378(97)70353-3.
Spontaneous liver hemorrhage with formation of subcapsular hematomas and rupture of Glissan's capsule is a rare but often lethal complication of pregnancy. This entity has usually been associated with severe preeclampsia or the HELLP (hemolysis, elevated liver enzymes, low platelets) syndrome. A case of spontaneous subcapsular hematoma of the liver occurring in the third trimester is presented in which the patient probably had neither preeclampsia nor the HELLP syndrome. The literature on liver hematomas in pregnancy published since 1982 when the term HELLP syndrome was coined is reviewed with a focus on the association of liver hematomas with preeclampsia and the HELLP syndrome. Therapy and maternal and neonatal outcomes for this entity are reassessed.
自发性肝出血伴包膜下血肿形成及肝门管区包膜破裂是一种罕见但常致命的妊娠并发症。这种情况通常与重度子痫前期或HELLP（溶血、肝酶升高、血小板减少）综合征相关。本文报告一例发生在孕晚期的自发性肝包膜下血肿病例，该患者可能既没有子痫前期也没有HELLP综合征。回顾了自1982年提出HELLP综合征这一术语以来发表的关于妊娠肝血肿的文献，重点关注肝血肿与子痫前期和HELLP综合征的关联。重新评估了该病症的治疗方法以及母婴结局。
