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HELLP综合征(HELLP syndrome)即重度妊高征并发溶血(hemolysis)、肝细胞酶升高(elevated liver enzymes)和血小板减少(low platelet count)。HELLP综合征的发病率占所有妊娠的0.20%~0.85%[1],HELLP综合征合并脑出血临床较少见,约占所有HELLP综合征的1.5%~([2]),但其致死率竟高达50%~([1])。我科报告1例并发脑出血的HELLP综合征患者,同时探讨该病的临床特点及在诊治过程中面临的问题。
HELLP syndrome refers to severe pregnancy-induced hypertension complicated by hemolysis, elevated liver enzymes, and low platelet count. HELLP syndrome incidence of 0.20% to 0.85% of all pregnancies [1], HELLP syndrome associated with cerebral hemorrhage is relatively rare, accounting for about 1.5% of all HELLP syndrome [2], but its lethality As high as 50% ~ ([1]). Our department reported 1 case of HELLP syndrome complicated by intracerebral hemorrhage. At the same time, we discussed the clinical features and the problems in the diagnosis and treatment of HELLP syndrome.