Rodríguez González D, Velarde Ibarra R, Cortez Alatorre E, Hernández Camarena R
Unidad de Cuidados Intensivos Nuevo Hospital Civil de Guadalajara.
Ginecol Obstet Mex. 1998 Jan;66:4-7.
Two patients with HELLP syndrome are presented and hepatic subcapsular haematoma and infarction were documented. The first clinical manifestation in both cases was hypotension. A surgical pregnancy interruption was required. These patients also presented leukocytosis, renal insufficiency, severe hepatic failure and the presence of hepatic encephalopathy (grade III-IV). One patient died in spite of medical intervention with multiple organ failure. The other patient is still alive but with minor liver dysfunction.
本文报告了2例伴有肝包膜下血肿和梗死的HELLP综合征患者。两例患者的首发临床表现均为低血压。均需要进行手术终止妊娠。这些患者还出现了白细胞增多、肾功能不全、严重肝功能衰竭以及肝性脑病(III-IV级)。尽管进行了医疗干预,但1例患者死于多器官功能衰竭。另1例患者仍然存活,但存在轻度肝功能障碍。