摘要
目的探讨HELLP综合征的诊治措施及预后情况。方法回顾性分析2005年1月至2010年12月罗定市妇幼保健院收治的HELLP综合征患者32例的临床资料。结果 32例患者中,顺产6例,剖宫产终止妊娠26例,剖宫产后发生HELLP综合征3例,新生儿窒息13例。产后血小板、转氨酶及胆红素均在2～5d内恢复正常,血肌酐尿素氮在产后2d内恢复正常,痊愈出院。住院天数5～15d,平均(9±1.5)d。结论 HELLP综合征是重度妊高征的严重并发症,产妇及围生儿病死率高,早期积极诊治妊娠期高血压,尽快终止妊娠,可有效降低孕产妇及围生儿病死率。
objective To investigate the diagnosis and treatment of HELLP syndrome measures and prognosis.Methods Retrospective analysis from January 2005 to December 2010 in Luoding Maternity and Child Hospital,HELLP syndrome patients admitted the clinical data of 32 cases.Results 32 patients induced labor termination of gestation in 6 cases,and cesarean section 26 patients,HELLP syndrome happened after cesarean section 3 cases,neonatal asphyxia 13 cases.Postpartum platelet,transaminase and bilirubin were in 2~5d normalised within,serum creatinine urea nitrogen in postpartum normalised within 2 days.Hospital days 5~15d,average（9±1.5）d.Conclusion HELLP syndrome is severe uteruses high levy serious complication,maternal mortality rate is high,and surround births diagnosis early positive gestational hypertension,as soon as possible,termination of pregnancy can effectively reduce maternal and confining births mortality.
出处
《中国医药指南》
2011年第11期12-13,共2页
Guide of China Medicine
关键词
HELLP综合征
临床特点
诊治
HELLP syndrome
Clinical characteristics
Treatment
