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目的探讨产后HELLP综合征的临床诊疗效果,总结HELLP综合征的临床特点,提高诊治水平。方法选取我院自2008年~2013年间收治的妊娠期高血压疾病中发展为产后HELLP综合征的病人10例进行回顾性分析。结果 HEELP综合征患者于终止妊娠后疾病基本得到控制,对于完全性HELLP综合征患者入住ICU监护病房及发生并发症的几率均较部分性HELLP综合征明显升高,终止妊娠后母儿结局得到改善。结论 HELLP综合征患者产后病情得到明显改善,但良好的监护措施及规范的治疗可减少并发症的产生及缩短就住ICU的时间,改善母儿结局,减轻患者经济负担。
Objective To investigate the clinical diagnosis and treatment of postpartum HELLP syndrome, summarize the clinical features of HELLP syndrome and improve the diagnosis and treatment. Methods A retrospective analysis of 10 patients with postpartum HELLP syndrome who were admitted to our hospital from 2008 to 2013 during pregnancy-induced hypertension was performed. Results In HEELP patients, the disease was basically controlled after termination of pregnancy. The incidence of HELLP syndrome in patients with complete HELLP syndrome was significantly higher than that in partial HELLP syndrome and the maternal and infant outcomes were improved after termination of pregnancy. Conclusion The postpartum HELLP syndrome patients’ condition has been significantly improved, but good care and standard treatment can reduce complications and shorten the time spent in ICU, improve maternal and child outcomes and reduce the financial burden on patients.