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目的:探讨HELLP综合征的发病特点、对母婴的影响及早期治疗原则。方法:对32例HELLP综合征患者的临床资料进行回顾性分析。结果:32例患者中,经阴道分娩6例,母体均预后良好,围生儿死亡2例;剖宫产26例,母体死亡4例,围生儿死亡9例。结论:HELLP综合征严重威胁母婴安全,实施规范的产前检查及适时终止妊娠是治疗的关键;终止妊娠的方式首选剖宫产,时机选择依据孕产妇的病情及孕周综合判断。
Objective: To investigate the incidence of HELLP syndrome, the impact of maternal and infant and early treatment principles. Methods: The clinical data of 32 HELLP syndrome patients were retrospectively analyzed. Results: Of the 32 patients, 6 had vaginal delivery, the prognosis was good in both maternal and perinatal neonates, 26 in cesarean section, 4 in maternal and 9 in perinatal. Conclusion: HELLP syndrome is a serious threat to maternal and infant safety. The implementation of standardized prenatal examination and timely termination of pregnancy are the key points of treatment. Cesarean section is the preferred method of termination of pregnancy, and timing is based on maternal morbidity and gestational age.