摘要
目的：探讨HELLP综合征发生的临床特点、治疗方法和母儿预后的影响。方法：对2007年1月-2014年4月在北京航空总医院收治的12例HELLP综合征患者的临床资料进行回顾性分析。结果：12例HELLP综合征发病孕周在31-39周,终止妊娠孕周在（32.3±4.5）周,2例自然分娩,10例行剖宫产分娩。7例为完全性,5例为部分性。孕产妇并发症有：多脏器功能衰竭、胎盘早剥、弥漫性血管内凝血、产后出血、子痫等。早产儿7例,重度窒息2例,围产儿死亡2例。结论：HELLP综合征是产科严重的并发症,早期诊断,及时终止妊娠可以改善母儿结局,降低孕产妇及围产儿的死亡率。
Objective： To explore the effect of the incidence of hemolysis elevated liver enzymes and lowplatelet count syndrome （HELLP） clinical characteristics, treatment and prognosis of mother and fetus. Methods：The clinical data of April in 12 patients with HELLP in General Hospital of China Aviation from 2007 January -2014 syndrome were retrospectively analyzed. Results：12 cases of HELLP syndrome in 31-39 weeks pregnancy, pregnancy in （32.3±4.5） weeks, 2 cases of natural childbirth, cesarean section in 10 cases. 7 cases were diagnosed as complete, 5 cases of partial. Maternal complications were：multiple organ failure, placental abruption, postpartum hemorrhage, such as disseminated intravascuiar coagulation, eclampsia. 7 preterm infants, 2 cases of severe asphyxia neonatorum, perinatal death in 2 cases. Conclusion：HELLP syndrome was a serious complication in obstetrics, early diagnosis, timely termination of pregnancy can improve maternal and fetal outcomes, reduce maternal and perinatal mortality.
出处
《中国医药导刊》
2014年第7期1141-1142,共2页
Chinese Journal of Medicinal Guide
关键词
HELLP综合征
分娩时机
母儿结局
HELLP Syndrome
Delivery opportunity
maternal and neonatal outcome
