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目的探讨妊娠期高血压疾病并发HELLP综合征的临床表现及预后,探讨有效的诊断和治疗方法。方法对禹州市妇幼保健院自2009年1月至2011年8月收治的22例HELLP综合征患者的临床资料进行分析。结果 6例自然分娩,16例剖宫产终止妊娠。2例并发弥散性血管内凝血(DIC)、多器官功能衰竭死亡,10例治愈出院,10例好转出院;围生儿14例早产,胎死宫内2例,窒息10例,死产2例。结论 HELLP综合征是一种严重危及母儿生命的并发症,早期诊断,综合性治疗,尽早终止妊娠是最有效的治疗措施。
Objective To investigate the clinical manifestations and prognosis of Hypertensive disorder complicated with HELLP syndrome during pregnancy and to explore effective methods of diagnosis and treatment. Methods The clinical data of 22 HELLP syndrome patients who were treated in Yuzhou MCH hospital from January 2009 to August 2011 were analyzed. Results 6 cases of natural childbirth, 16 cases of cesarean termination of pregnancy. 2 patients died of diffuse intravascular coagulation (DIC) and multiple organ failure, 10 patients were cured and discharged, and 10 patients were cured. Perinatal children were prematurely delivered in 14 cases, 2 in fetal death, 10 in asphyxia and 2 in stillbirth . Conclusion HELLP syndrome is a serious complication of life-threatening mother and child. Early diagnosis and comprehensive treatment of HELLP syndrome is the most effective treatment for early termination of pregnancy.