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HELLP综合症二例诊治分析
引用本文:杨峰,张文忠,焦清海. HELLP综合症二例诊治分析[J]. 四川解剖学杂志, 2012, 20(1): 23-24
作者姓名:杨峰  张文忠  焦清海
作者单位:河北省邯郸市第一医院急诊ICU,邯郸,056002
摘    要:目的探讨HELLP综合症的诊断及治疗措施。方法对我院收治的HELLP综合症二例的临床资料进行回顾性分析。结果 1例因突发头痛伴意识不清5h入院,头颅CT示脑室出血,经临床检查确诊为HELLP综合症,虽行剖宫产及侧脑室穿刺外引流术,但病情持续恶化,自动出院。另1例因剖腹产后出现抽搐、酱油色尿入院,诊断为HELLP综合症,予解痉、降压、镇静、抑制血小板聚集及血浆置换后痊愈出院。结论 HELLP综合症临床少见,其临床表现无特异性,应保持警惕性并及时行相关实验室检查才能早期诊断,及时终止妊娠并给予解痉、降压、抑制血小板聚集、激素是其根本治疗措施,必要时给予血浆置换。

关 键 词:HELLP综合症  诊断  治疗  血浆置换

Analysis of Diagnosis and Treatment on Two Cases of HELLP Syndrome
Yang Feng , Zhang Wenzhong , Jiao Qinghai. Analysis of Diagnosis and Treatment on Two Cases of HELLP Syndrome[J]. Sichuan Journal of Anatomy, 2012, 20(1): 23-24
Authors:Yang Feng    Zhang Wenzhong    Jiao Qinghai
Affiliation:Yang Feng Zhang Wenzhong Jiao Qinghai(Emergency ICU of Handan centre hospital of Hebei Province,Handan 056002,China)
Abstract:Objective To investigate the diagnosis and therapeutic measure of HELLP syndrome.Methods Retrospective analyze was used to study two clinical cases about HELLP Syndrome in our hospital.Results Case one was owing to gusty headache and unconsciousness for five hours,and was determined as HELLP Syndrome by clinical examination and CT brain scan showing ventricular hemorrhage.But the patient’s condition was still persistently aggravated after Cesarean section and Lateral ventricular puncture external drainage were operated.At last,the patient discharged from hospital automatically.Another patient of HELLP Syndrome was admitted to hospital as convulsion and soybean sauce-like urine,and fully recovered after the treatments of spasmolysis,depressurization,appeasement,plasmapheresis and inhibition of platelet aggregation.Conclusion HELLP Syndrome is an infrequent disease and its clinical findings have not specificity in clinic.Maintaining vigilance and timely laboratory examination can obtain early diagnosis.The basic therapeutic measures are opportune termination of pregnancy,spasmolysis,depressurization,hormone administration and inhibiting platelet aggregation,and pro re nata plasma exchange.
Keywords:HELLP Syndrome  Diagnosis  Treatment  Plasma exchange
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