Long-term Corticosteroid Treatment of a Patient with Preeclampsia and HELLP Syndrome in Mid-Pregnancy

被引：0

作者：

Djalali, S. ^{[1
]}

Axt-Fliedner, R. ^{[1
]}

Spiegler, J. ^{[2
]}

Diedrich, K. ^{[1
]}

Hornung, D. ^{[1
]}

机构：

[1] Univ Klinikum Schleswig Holstein, Klin Frauenheilkunde & Geburtshilfe, D-23538 Lubeck, Germany

[2] Univ Klinikum Schleswig Holstein, Klin Kinder & Jugendmed, D-23538 Lubeck, Germany

来源：

GEBURTSHILFE UND FRAUENHEILKUNDE | 2009年 / 69卷 / 06期

关键词：

HELLP syndrome; pregnancy; preeclampsia; long-term treatment; corticosteroids; ELEVATED LIVER-ENZYMES; LOW PLATELETS; HEMOLYSIS; DEXAMETHASONE; MANAGEMENT;

D O I：

10.1055/s-0029-1185752

中图分类号：

R71 [妇产科学];

学科分类号：

100211 ;

摘要：

Background: Hemolysis, elevated liver enzymes and low platelets (HELLP) syndrome is associated with a high risk of serious maternal and neonatal Morbidity and mortality. To date, termination of the pregnancy has been the appropriate treatment for this syndrome. However, long-term administration of corticosteroids is becoming increasingly popular for the treatment of HELLP syndrome. Case Report: A 32-year-old primigravida was admitted to Our hospital with HELLP syndrome in the 23rd week of gestation. The patient received corticosteroids for about six weeks. We achieved a successful prolongation of the patient's pregnancy until the 29th week of gestation. Conclusion: This case report supports the use of long-term corticosteriod administration for successful prolongation of a pregnancy in a patient with HELLP syndrome during early pregnancy.

引用

页码：545 / 548

页数：4

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