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Weinstein(1982年)报道29例孕期溶血、肝酶升高、血小板减少病例,并以其字头称HELLP综合征。此综合征多并发于妊娠高血压综合征,合并DIC预后不良,也可引起母体死亡和围产儿死亡。 HELLP综合征最具特征的初发症状是突然上腹部疼痛、恶心呕吐、倦怠感。有时黄疸为初发症状。多数合并妊高征,也有与子痫同时发生的病例。发病时间分布于妊娠28～40周。 有资料表明,初发症状以右上腹和正中部疼痛占多数。此外,恶心呕吐占53％,倦怠感占91％。究其
Weinstein (1982) reported 29 cases of hemolysis during pregnancy, elevated liver enzymes, thrombocytopenia cases, and its prefix that HELLP syndrome. This syndrome complicated by multiple pregnancy-induced hypertension, combined with poor prognosis DIC, can also cause maternal and perinatal deaths. HELLP syndrome is the most characteristic initial symptoms of sudden upper abdominal pain, nausea, vomiting, fatigue. Jaundice is sometimes the initial symptom. Most combined with pregnancy-induced hypertension, but also with eclampsia cases occur simultaneously. The incidence of time distribution in pregnancy 28 to 40 weeks. Data show that the initial symptoms of right upper quadrant and middle of the majority of pain. In addition, nausea and vomiting accounted for 53%, burnout accounted for 91%. Study it