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“Hellp综合征”是由Weinstein于1982年所首先描述提出。它有二个主要特点,一是仅发生在孕产妇,二是包括三大主要体征(溶血、肝酶升高和血小板降低)或其中二者。它对孕妇及围产儿威胁严重,通常需及早终止妊娠,大多数以刮宫产结束分娩。处理上应根据病情采取综合治疗措施。我院于1995年7月~1997年10月成功诊治3例Hellp综合征,现将临床资料报告如下: 例1:患者24岁,住院号61275,孕3产0,孕36周因“重度妊高征、先兆早产”于1995年7月30日入院。查体:体温36.7℃,脉搏80次/分,呼吸20次/分,血压21/15kPa,肝脾肋下未触及,扪及敏感宫缩,
Hellp syndrome was first described by Weinstein in 1982. It has two main features, one that occurs only in pregnant women and the other two include the three major signs (hemolysis, elevated liver enzymes and thrombocytopenia) or both. It is a serious threat to pregnant women and perinatals, and it is usually necessary to terminate the pregnancy as soon as possible. Most deliveries end with curettage. Treatment should be based on the condition to take comprehensive treatment. Our hospital in July 1995 ~ October 1997 successfully diagnosed 3 Hellp syndrome, the clinical data are reported as follows: Example 1: patients 24 years old, hospital number 61275, 3 pregnant 0, 36 weeks pregnant due to “severe pregnancy High sign, threatened preterm birth ”in July 30, 1995 admission. Physical examination: body temperature 36.7 ℃, pulse 80 beats / min, breathing 20 beats / min, blood pressure 21 / 15kPa, liver and spleen ribs not touched, palpable sensitive contractions,