中外医疗
中外醫療
중외의료
China Foreign Medical Treatment
2015年
27期
72-73
,共2页
HELLP综合征%临床观察%治疗
HELLP綜閤徵%臨床觀察%治療
HELLP종합정%림상관찰%치료
HELLP syndrome%Clinical observation%Treatment
目的 探讨妊娠高血压疾病并发 HELLP 综合征的诊治. 方法 随机抽取 2012 年 3 月-2014 年 10 月该院收治的HELLP综合征患者68例,回顾分析病例,通过患者的HELLP综合征临床表现、并发症、分娩等情况进行观察,通过部分性与完全性的HELLP综合征进行对比. 结果 所有患者的HELLP综合征有着不同程度的妊娠高血压疾病表现,如水肿、高血压、蛋白尿等. 一般发病周期为28~39周,平均周期(34±1),其中剖宫产有35例,正常分娩有33例,部分性HELLP综合征为28例,完全性HELLP综合征为40例,两组患者的综合症状比较差异无统计学意义(P>0.05).产妇并发症:8例急性肾衰竭, 12例胎盘早剥,8例产后出血,4例低蛋白血症,7例为子痫前期轻度,8例为子痫前期重度,29例早产. 1例胎死宫内,其死亡率为1.47%. 结论 HELLP综合征是影响母婴安全的一种并发症,早期发现和及时治疗HELLP综合征,可以有效的减少母婴死亡的发生.
目的 探討妊娠高血壓疾病併髮 HELLP 綜閤徵的診治. 方法 隨機抽取 2012 年 3 月-2014 年 10 月該院收治的HELLP綜閤徵患者68例,迴顧分析病例,通過患者的HELLP綜閤徵臨床錶現、併髮癥、分娩等情況進行觀察,通過部分性與完全性的HELLP綜閤徵進行對比. 結果 所有患者的HELLP綜閤徵有著不同程度的妊娠高血壓疾病錶現,如水腫、高血壓、蛋白尿等. 一般髮病週期為28~39週,平均週期(34±1),其中剖宮產有35例,正常分娩有33例,部分性HELLP綜閤徵為28例,完全性HELLP綜閤徵為40例,兩組患者的綜閤癥狀比較差異無統計學意義(P>0.05).產婦併髮癥:8例急性腎衰竭, 12例胎盤早剝,8例產後齣血,4例低蛋白血癥,7例為子癇前期輕度,8例為子癇前期重度,29例早產. 1例胎死宮內,其死亡率為1.47%. 結論 HELLP綜閤徵是影響母嬰安全的一種併髮癥,早期髮現和及時治療HELLP綜閤徵,可以有效的減少母嬰死亡的髮生.
목적 탐토임신고혈압질병병발 HELLP 종합정적진치. 방법 수궤추취 2012 년 3 월-2014 년 10 월해원수치적HELLP종합정환자68례,회고분석병례,통과환자적HELLP종합정림상표현、병발증、분면등정황진행관찰,통과부분성여완전성적HELLP종합정진행대비. 결과 소유환자적HELLP종합정유착불동정도적임신고혈압질병표현,여수종、고혈압、단백뇨등. 일반발병주기위28~39주,평균주기(34±1),기중부궁산유35례,정상분면유33례,부분성HELLP종합정위28례,완전성HELLP종합정위40례,량조환자적종합증상비교차이무통계학의의(P>0.05).산부병발증:8례급성신쇠갈, 12례태반조박,8례산후출혈,4례저단백혈증,7례위자간전기경도,8례위자간전기중도,29례조산. 1례태사궁내,기사망솔위1.47%. 결론 HELLP종합정시영향모영안전적일충병발증,조기발현화급시치료HELLP종합정,가이유효적감소모영사망적발생.
Objective To observe the diagnosis and treatment of the pregnancy-induced hypertension disease complicated with HELLP syndrome. Methods 68 patients with HELLP syndrome admitted to this hospital between March 2012 and October 2014 were randomly selected and retrospectively. Their clinical manifestations, complications, delivery etc were observed and compared between those with partial and complete HELLP syndrome. Results All the patients with HELLP syndrome were featured with dis-ease related to pregnancy-induced hypertension, such as edema, hypertension and proteinuria, etc. The course of disease was 28-39 weeks, averaging (34±1) weeks. 35 patients underwent cesarean section and 33 normal delivery. There were 28 cases of partial HELLP syndrome and 40 cases of complete HELLP syndrome, but there were no statistically significant differences in comprehen-sive symptom between the two groups, P>0.05. The complications included 8 cases of acute renal failure, 12 cases of placental abruption, 8 cases of postpartum hemorrhage, 4 cases of hypoalbuminemia, 7 cases of mild preeclampsia, 8 cases of severe preeclampsia, 29 cases of premature delivery. There was 1 case of fetal intrauterine death with mortality rate of 1.47%. Conclu-sion HELLP syndrome is a kind of complication which can influence maternal and child safety, and early detection and timely treatment for this complication can effectively reduce maternal and infant death.
