A case of aggravation of hemolytic anemia, elevated liver enzymes and low platelet count syndrome after delivery

被引:5
作者
Jiang Yuan-hui [1 ]
Wang Yong-qing [1 ]
Wang Jing [1 ]
Ye Rong-hua [1 ]
机构
[1] Peking Univ, Hosp 3, Dept Obstet & Gynecol, Beijing 100191, Peoples R China
关键词
HELLP syndrome; hypocalcemia; hyponatremia; hypoproteinemia; HELLP-SYNDROME; CORTICOSTEROID-THERAPY; PREGNANCY;
D O I
10.3760/cma.j.issn.0366-6999.2011.08.026
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Background Hemolytic anemia, elevated liver enzymes and low platelet count (HELLP) syndrome is a severe obstetric complication which usually resolves in most patients after delivery. Methods We report a rare case of aggravation of HELLP syndrome after delivery. Results The patient underwent the treatment for HELLP syndrome, including glucocorticoid therapy. The symptoms of HELLP syndrome reappeared and became more severe than before the termination of pregnancy. The patient also had severe and persistent hypoproteinemia, hyponatremia and hypocalcemia. Conclusions HELLP syndrome is an acute and critical obstetric syndrome which can have heterogeneous presentations and variable prognosis. We should be fully aware of the diverse clinical characteristics of this condition. Chin Med J2011;124(8):1261-1263
引用
收藏
页码:1261 / 1263
页数:3
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