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HELLP综合征36例临床分析
引用本文:曲皖君,张婉莹,周颖,陈玲. HELLP综合征36例临床分析[J]. 安徽医科大学学报, 2012, 47(10): 1257-1259
作者姓名:曲皖君  张婉莹  周颖  陈玲
作者单位:安徽医科大学附属省立医院妇产科,合肥,230001;安徽医科大学附属省立医院妇产科,合肥,230001;安徽医科大学附属省立医院妇产科,合肥,230001;安徽医科大学附属省立医院妇产科,合肥,230001
摘    要:回顾性分析36例HELLP综合征的实验室指标、临床表现及母婴并发症,其中Ⅰ型HELLP综合征22例,Ⅱ型HELLP综合征14例,Ⅰ型HELLP综合征天门冬氨酸转氨酶(AST)和乳酸脱氢酶(LDH)数值高于Ⅱ型,并发弥漫性血管内凝血(DIC)和胎儿生长受限(FGR)的概率高于Ⅱ型。Ⅰ型HELLP综合征的病情较Ⅱ型严重,PLT计数减少可增加母婴并发症的发生率。

关 键 词:HELLP综合征  血小板计数  并发症  预后

Clinical study on 36 cases of HELLP syndrome
Affiliation:Qu Wanjun,Zhang Wanying,Zhou Ying,et al(Dept of Obsterics and Gynecology,The Affiliated Provincial Hospital of Anhui Medical University,Hefei 230001)
Abstract:The laboratory characteristics,clinical manifestations and the maternal and fetal outcomes of 36 pregnancies complicated with HELLP syndrome were analyzed.The values of aspartate aminotransferase(AST) and lactate dehydrogenase(LDH) of class Ⅰ HELLP syndrome were higher than that of class Ⅱ,and the probability of complicating by disseminated intravascular coagulation(DIC) and fetal growth restriction(FGR) were higher than that of class Ⅱ.The condition of class Ⅰ HELLP syndrome was more serious than that of class Ⅱ.The decrease of platelet counts may increase the rate of matennal and infant complications.
Keywords:HELLP syndrome  platelet count  complication  prognosis
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