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[Caesarean section in a patient with a history of HELLP syndrome].
Masui. 1999 Aug; 48(8):874-8.M

Abstract

A 36-year-old woman underwent emergency caesarean section following the diagnosis of HELLP syndrome. Four years earlier, after having undergone the same procedure for HELLP syndrome, she had experienced hypovolemic shock, renal failure, and disseminated intravascular coagulopathy during the postoperative period. This time, the patient showed bleeding, elevation of liver enzymes (ALT, AST, LDH) and a reduction of antithrombin III activity in the 36th week of pregnancy. Anesthesia was induced by thiamylal 4 mg.kg-1 and suxamethonium 1 mg.kg-1 and after delivery maintained by oxygen-nitrous oxide-isoflurane, and all procedures were performed without any incident. No major complications such as intraperitoneal bleeding, renal failure, or disseminated intravascular coagulopathy occurred during the postoperative period. It is suggested that caesarean section should be carried out as soon as possible after the diagnosis of HELLP syndrome is confirmed.

Authors+Show Affiliations

Department of Anesthesiology, Faculty of Medicine, University of the Ryukyus, Okinawa.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
English Abstract
Journal Article

Language

jpn

PubMed ID

10481422

Citation

Higa, T, et al. "[Caesarean Section in a Patient With a History of HELLP Syndrome]." Masui. the Japanese Journal of Anesthesiology, vol. 48, no. 8, 1999, pp. 874-8.
Higa T, Kakinohana M, Terada T, et al. [Caesarean section in a patient with a history of HELLP syndrome]. Masui. 1999;48(8):874-8.
Higa, T., Kakinohana, M., Terada, T., Iha, H., & Okuda, Y. (1999). [Caesarean section in a patient with a history of HELLP syndrome]. Masui. the Japanese Journal of Anesthesiology, 48(8), 874-8.
Higa T, et al. [Caesarean Section in a Patient With a History of HELLP Syndrome]. Masui. 1999;48(8):874-8. PubMed PMID: 10481422.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Caesarean section in a patient with a history of HELLP syndrome]. AU - Higa,T, AU - Kakinohana,M, AU - Terada,T, AU - Iha,H, AU - Okuda,Y, PY - 1999/9/11/pubmed PY - 1999/9/11/medline PY - 1999/9/11/entrez SP - 874 EP - 8 JF - Masui. The Japanese journal of anesthesiology JO - Masui VL - 48 IS - 8 N2 - A 36-year-old woman underwent emergency caesarean section following the diagnosis of HELLP syndrome. Four years earlier, after having undergone the same procedure for HELLP syndrome, she had experienced hypovolemic shock, renal failure, and disseminated intravascular coagulopathy during the postoperative period. This time, the patient showed bleeding, elevation of liver enzymes (ALT, AST, LDH) and a reduction of antithrombin III activity in the 36th week of pregnancy. Anesthesia was induced by thiamylal 4 mg.kg-1 and suxamethonium 1 mg.kg-1 and after delivery maintained by oxygen-nitrous oxide-isoflurane, and all procedures were performed without any incident. No major complications such as intraperitoneal bleeding, renal failure, or disseminated intravascular coagulopathy occurred during the postoperative period. It is suggested that caesarean section should be carried out as soon as possible after the diagnosis of HELLP syndrome is confirmed. SN - 0021-4892 UR - https://www.unboundmedicine.com/medline/citation/10481422/[Caesarean_section_in_a_patient_with_a_history_of_HELLP_syndrome]_ L2 - http://www.diseaseinfosearch.org/result/3266 DB - PRIME DP - Unbound Medicine ER -