醫學雜誌

台灣急重症醫學雜誌

Volume 8, Number 2, June2023

Case Reports 病例報告

A Rapidly Progressing Hellp Syndrome Case with Bleeding Diathesis

Nga-San Hong, Yung-Chieh Tsai, Tian-Ni Kuo, Ing-Luen Shyu

PHemolysis, elevated liver enzymes and low platelet (HELLP) syndrome is one of common obstetric complications. The prognosis is generally well if timely delivery is performed. It still might cause severe sequelae even multiorgan failure and death because it sometimes progresses rapidly. Here we present a 45-year-old female of rapidly progressing HELLP syndrome initially presented as severe RUQ pain then bleeding diathesis. The symptoms aggravated within several hours but the patient recovered well soon after emergent delivery.
Keyword:  HELLP, preeclampsia, thrombocytopenia

快速進展的溶血肝功能上升及低血小板症候群合併出血傾向

洪雅珊,蔡永杰,郭恬妮,徐英倫..

溶血肝功能上升和低血小板 (HELLP) 症候群是產科常見併發症其中之一。假使有即時的生產通常可以有不錯的預後。它還是可能造成嚴重的結果甚至多重器官衰竭及死亡,因為疾病有時會進展很快。我們報告一名 45 歲女性一開始表現嚴重右上腹痛,後來出現出血傾向的快速進展溶血、肝功能上升和低血小板症候群患者。症狀在數小時內惡化,不過病人在緊急生產後快速復原。
關鍵詞: 溶血肝功能上升及低血小板症候群,子癲前症,血小板不足
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