Rivera A, Alcaín G, Camargo R, Alcántara R, Fraile J M, Andrade R J, Franquelo E
Servicio de Medicina Interna, Hospital Clínico Universitario Virgen de la Victoria, Málaga.
Rev Esp Enferm Dig. 1998 Sep;90(9):665-7.
HELLP syndrome (Hemolysis, Elevated Liver Enzymes, Low Platelets), one of the gestational diseases of the third trimester of pregnancy associated to eclampsia or preeclampsia, has a varied clinical expression, that include poor symptomatic patterns with malaise and/or dyspepsia, even several patterns with fatal outcome. We show two cases with clinical and laboratory criterion of HELLP syndrome, but with different clinical presentations. It's analyzed the pathogenicity, clinical-pathological expression, course and therapeutics options in HELLP syndrome.
HELLP综合征(溶血、肝酶升高、血小板减少)是妊娠晚期与子痫或先兆子痫相关的妊娠疾病之一,临床表现多样,包括伴有不适和/或消化不良的轻微症状模式,甚至有几种模式会导致致命后果。我们展示了两例符合HELLP综合征临床和实验室标准但临床表现不同的病例。本文分析了HELLP综合征的发病机制、临床病理表现、病程及治疗选择。