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[A report of fourteen cases with hemolysis, elevated liver enzymes and low platelet count syndrome].
Zhonghua Fu Chan Ke Za Zhi. 2002 Sep; 37(9):526-8.ZF

Abstract

OBJECTIVE

To summarize the incidence, diagnosis, treatment and prognosis of patients with hemolysis, elevated liver enzymes and low platelet count (HELLP) syndrome.

METHODS

The clinical data of fourteen cases with HELLP syndrome complicated by severe pregnancy-induced hypertension were analyzed retrospectively during the past seven years.

RESULTS

The incidence of HELLP syndrome was 8% in the patients with severe pregnancy-induced hypertension. According to the diagnosis criteria used by Tennessee University, there were eight cases with complete HELLP syndrome and six cases with partial HELLP syndrome. The major therapeutic way were intensive maternal and fetal monitoring, active management of preeclampsia and eclampsia, administration of corticosteroids and termination the pregnancy as fast as possible. The major complications were DIC, placental abruption, pneumonedema and acute renal failure. The maternal and perinatal mortality were 7% and 29%, respectively.

CONCLUSIONS

HELLP syndrome was a serious life-threatening complication of severe pregnancy-induced hypertension. In order to decrease the maternal and perinatal mortality rate, HELLP syndrome should be diagnosed and treated as fast as possible.

Authors+Show Affiliations

Department of Obstetrics and Gynecology, First Affiliated Hospital of Shantou University Medical College, Guangdong Province, Shantou 515041, China.No affiliation info available

Pub Type(s)

English Abstract
Journal Article

Language

chi

PubMed ID

12411011

Citation

Zeng, Fei, and Dixia Chen. "[A Report of Fourteen Cases With Hemolysis, Elevated Liver Enzymes and Low Platelet Count Syndrome]." Zhonghua Fu Chan Ke Za Zhi, vol. 37, no. 9, 2002, pp. 526-8.
Zeng F, Chen D. [A report of fourteen cases with hemolysis, elevated liver enzymes and low platelet count syndrome]. Zhonghua Fu Chan Ke Za Zhi. 2002;37(9):526-8.
Zeng, F., & Chen, D. (2002). [A report of fourteen cases with hemolysis, elevated liver enzymes and low platelet count syndrome]. Zhonghua Fu Chan Ke Za Zhi, 37(9), 526-8.
Zeng F, Chen D. [A Report of Fourteen Cases With Hemolysis, Elevated Liver Enzymes and Low Platelet Count Syndrome]. Zhonghua Fu Chan Ke Za Zhi. 2002;37(9):526-8. PubMed PMID: 12411011.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [A report of fourteen cases with hemolysis, elevated liver enzymes and low platelet count syndrome]. AU - Zeng,Fei, AU - Chen,Dixia, PY - 2002/11/2/pubmed PY - 2003/1/14/medline PY - 2002/11/2/entrez SP - 526 EP - 8 JF - Zhonghua fu chan ke za zhi JO - Zhonghua Fu Chan Ke Za Zhi VL - 37 IS - 9 N2 - OBJECTIVE: To summarize the incidence, diagnosis, treatment and prognosis of patients with hemolysis, elevated liver enzymes and low platelet count (HELLP) syndrome. METHODS: The clinical data of fourteen cases with HELLP syndrome complicated by severe pregnancy-induced hypertension were analyzed retrospectively during the past seven years. RESULTS: The incidence of HELLP syndrome was 8% in the patients with severe pregnancy-induced hypertension. According to the diagnosis criteria used by Tennessee University, there were eight cases with complete HELLP syndrome and six cases with partial HELLP syndrome. The major therapeutic way were intensive maternal and fetal monitoring, active management of preeclampsia and eclampsia, administration of corticosteroids and termination the pregnancy as fast as possible. The major complications were DIC, placental abruption, pneumonedema and acute renal failure. The maternal and perinatal mortality were 7% and 29%, respectively. CONCLUSIONS: HELLP syndrome was a serious life-threatening complication of severe pregnancy-induced hypertension. In order to decrease the maternal and perinatal mortality rate, HELLP syndrome should be diagnosed and treated as fast as possible. SN - 0529-567X UR - https://www.unboundmedicine.com/medline/citation/12411011/[A_report_of_fourteen_cases_with_hemolysis_elevated_liver_enzymes_and_low_platelet_count_syndrome]_ DB - PRIME DP - Unbound Medicine ER -