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HELLP综合征合并急性肾功能衰竭10例分析
引用本文:周红辉,高志英.HELLP综合征合并急性肾功能衰竭10例分析[J].压电与声光,2010(4).
作者姓名:周红辉  高志英
作者单位:解放军总医院妇产科;
基金项目:重庆市教委自然科学基金资助项目?
摘    要:目的探讨HELLP综合征合并急性肾功能衰竭(ARF)的临床特点、诊断、治疗和孕产妇及新生儿预后。方法对我院2005年1月-2008年12月以来HELLP综合征合并ARF的10例患者临床资料进行回顾性分析。结果多为妊娠期高血压疾病的并发症,以血压升高、恶心、呕吐、水肿、皮下淤斑或黏膜出血、少尿或无尿为特点,乳酸脱氢酶、转氨酶、血小板、血肌酐等均为诊断及监测疾病变化及预后的指标;在常规治疗HELLP的基础上及时终止妊娠、行血液净化治疗,是防止病情恶化降低孕产妇及围产儿死亡率的关键。结论HELLP综合征合并ARF发病急而凶险,早期诊断、综合治疗、及时终止妊娠及血液净化治疗是改善孕产妇及新生儿预后的关键。

关 键 词:HELLP综合征  肾功能衰竭  急性  高血压  妊娠性  血液滤过  

Analysis of 10 cases of hemolysis,elevated liver enzymes and low platelet syndrome associated with acute renal failure
ZHOU Hong-hui,GAO Zhi-ying.Analysis of 10 cases of hemolysis,elevated liver enzymes and low platelet syndrome associated with acute renal failure[J].Piezoelectrics & Acoustooptics,2010(4).
Authors:ZHOU Hong-hui  GAO Zhi-ying
Affiliation:ZHOU Hong-hui,GAO Zhi-yingDepartment of Obstetrics , Gynecology,Chinese PLA General Hospital,Beijing 100853,China
Abstract:Objective To study the clinical characteristics, diagnosis, treatment of hemolysis, elevated liver enzymes and low platelet (HELLP) syndrome associated with acute renal failure (ARF) and the prognosis of pregnant and maternal women and neonates. Methods The data about 10 clinical cases of HELLP syndrome associated with ARF admitted to our hospital in January 2005-December 2008 were retrospectively analyzed. Results HELLP syndrome was found to be a complication of hypertension of pregnancy characterized by e...
Keywords:HELLP Syndrome  Kidney Failure  Acute  Hypertension  Pregnancy-Induced  Hemofiltration  
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