产后HELLP综合征、子痫并发可逆性后部白质脑病综合征一例

可逆性后部白质脑病综合征是产科较为罕见的妊娠期并发症，其发生与以溶血、肝酶升高及血小板计数降低为特点的HEPPL综合征及子痫存在一定关联。报告1例子痫前期入院病例，因血压控制欠佳，孕妇出现上腹痛行剖宫产后出现头晕、抽搐等神经系统症状，辅助检查提示血小板减少、丙氨酸转氨酶、天冬氨酸转氨酶及乳酸脱氢酶升高、脑部多发梗死灶，经过及时治疗好转后出院。通过回顾该病例的诊治经过，总结经验教训，以期提高临床医生对产后HELLP综合征及可逆性后部白质脑病综合征的认识。

A Case of Postpartum HELLP Syndrome and Eclampsia Complicated with Reversible Posterior Leukoencephalopathy Syndrome

Reversible posterior leukoencephalopathy syndrome is a relatively rare pregnancy complication in obstetrics. Its occurrence is associated with HELLP syndrome and eclampsia characterized by hemolysis, elevated liver enzymes and reduced platelet count. It is reported that a case of severe pre-eclampsia was admitted to hospital. Due to poor control of blood pressure, a pregnant woman developed dizziness, convulsions and other neurological symptoms after cesarean delivery for epigastric pain. Auxiliary examination suggesting thrombocytopenia, elevated glutamic pyruvic transaminase, glutamic oxaloacetic transaminase and lactate dehydrogenase increased, and multiple cerebral infarction foci. The patient was discharged after timely treatment. Through the diagnosis and treatment of this case, we can summarize the experience and lessons, in order to improve clinicians′ understanding of postpartum HELLP syndrome and reversible posterior leukoencephalopathy syndrome.