CAJ | 학술논문

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。
목적：탐토HELLP종합정발생적림상특점、치료방법화모인예후적영향。방법：대2007년1월～2014년4월재북경항공총의원수치적12례HELLP종합정환자적림상자료진행회고성분석。결과：12례HELLP종합정발병잉주재31～39주，종지임신잉주재（32.3±4.5）주，2례자연분면，10례행부궁산분면。7례위완전성，5례위부분성。잉산부병발증유：다장기공능쇠갈、태반조박、미만성혈관내응혈、산후출혈、자간등。조산인7례，중도질식2례，위산인사망2례。결론：HELLP종합정시산과엄중적병발증，조기진단，급시종지임신가이개선모인결국，강저잉산부급위산인적사망솔。
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.