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本文观测1985年1月1日～1988年5年15日间住院的139例妊高征患者化验数据,其中19例符合Weinstein 描述的 HELLP 综含征的定义:血小板减少(<100,000/μl)、转氨酶位异常(血清 SGOT>18U/1,血清丙酮酸转移酶>22U/1)及微血管病性溶血的征象(出现裂红细胞,棘细胞和/或多染性细胞增多)。为了阐明伴有 HELLP 综合征妇女中 DIC 的作用,作者对18例病人做了连续凝血前瞻性研究。按照 Hellgren 等提出的半量 DIC评分方法分为无 DIC 征象组、可疑 DIC 组、确诊DIC组。这种 DIC 评分方法以下列试验为基础:
In this study, 139 patients with PIH admitted in hospital from January 1, 1985 to December 5, 1988 were enrolled. Among them, 19 patients met the Weinstein definition of HELLP syndrome: thrombocytopenia (<100,000 / μl) Aminotransferase abnormalities (serum SGOT> 18U / 1, serum pyruvate transferase> 22U / 1) and signs of microangiopathic hemolysis (presence of red blood cells, spine cells and / or polycythemia). To elucidate the role of DIC in women with HELLP syndrome, the prospective cohort study of 18 patients was performed. According to Hellgren and other half-dose DIC scoring method is divided into no signs of DIC group, suspected DIC group, confirmed DIC group. This DIC scoring method is based on the following tests: