产后HELLP综合征合并子痫及可逆性后部脑病综合征1例并文献复习
One Case of Postpartum HELLP Syndrome Complicated with Eclampsia and Reversible Posterior Encephalopathy Syndrome and Literature Review
摘要: 通过分析我院1例产后HELLP综合征合并子痫及可逆性后部脑病综合征患者临床特征及诊疗经过,并通过分析相关文献,对产后HELLP综合征、子痫的诊断及治疗进行分析,进一步提高临床医生对该病的妊娠,及提高对双胎妊娠患者产后管理。
Abstract: By analyzing the clinical characteristics and diagnosis and treatment process of a patient with postpartum HELLP syndrome complicated with eclampsia and reversible posterior encephalopathy syndrome in our hospital, and analyzing the relevant literature, the diagnosis and treatment of postpartum HELLP syndrome and eclampsia were analyzed, so as to further improve the pregnancy of clinicians and the postpartum management of patients with twin pregnancies.
文章引用:李月, 徐琳, 王宁. 产后HELLP综合征合并子痫及可逆性后部脑病综合征1例并文献复习[J]. 临床医学进展, 2024, 14(12): 1326-1331. https://doi.org/10.12677/acm.2024.14123222

参考文献

[1] Haram, K., Svendsen, E. and Abildgaard, U. (2009) The HELLP Syndrome: Clinical Issues and Management. A Review. BMC Pregnancy and Childbirth, 9, Article No. 8. [Google Scholar] [CrossRef] [PubMed]
[2] (2019) ACOG Practice Bulletin No. 202: Gestational Hypertension and Preeclampsia. Obstetrics and Gynecology, 133, 1. [Google Scholar] [CrossRef
[3] 潘婕, 张国英. 产后高血压及产后子痫前期的研究进展[J]. 中国生育健康杂志, 2024, 35(6): 594-598.
[4] Dubey, S. and Rani, J. (2020) Hepatic Rupture in Preeclampsia and HELLP Syndrome: A Catastrophic Presentation. 59, 643-651. [Google Scholar] [CrossRef] [PubMed]
[5] 杨柳, 邹丽. HELLP 综合征诊治的最新认识[J]. 中华产科急救电子杂志, 2021, 10(3): 142-146.
[6] 杨怡珂, 漆洪波. 美国妇产科医师学会(ACOG)“妊娠期高血压和子痫前期指南2019版”要点解读(第一部分) [J]. 中国实用妇科与产科杂志, 2019, 35(8): 895-899.
[7] Li, B.Y. and Yang, H.X. (2022) [Comparison of Clinical Features in Antepartum and Postpartum HELLP Syndrome]. Chinese Journal of Obstetrics and Gynecology, 57, 907-913.
[8] 李政, 陈倩. 走在HELLP综合征发病前一步以避免惨烈结局[J]. 中国实用妇科与产科杂志, 2024, 40(8): 779-784.
[9] 杨孜, 张为远. 妊娠期高血压疾病诊治指南(2015) [J]. 中华产科急救电子杂志, 2015, 4(4): 206-213.
[10] Abalos, E., Cuesta, C., Grosso, A.L., Chou, D. and Say, L. (2013) Global and Regional Estimates of Preeclampsia and Eclampsia: A Systematic Review. European Journal of Obstetrics & Gynecology and Reproductive Biology, 170, 1-7. [Google Scholar] [CrossRef] [PubMed]
[11] 梁新月, 王晓怡. 子痫的预防与紧急处理[J]. 中华产科急救电子杂志, 2021, 10(4): 216-219.
[12] 韩丽娟, 李政, 黄嵘, 等. 可逆性后部白质脑病综合征临床及影像学特点分析[J]. 中国医药导报, 2022, 19(2): 117-120, 125.
[13] 章燕幸, 吴承龙, 王黎萍, 等. 围产期脑后部可逆性脑病综合征的临床影像分析[J]. 放射学实践, 2010, 25(8): 842-845.
[14] Mandal, D., Khanal, D., Phuyal, R. and Bhatta, A. (2020) Posterior Reversible Encephalopathy Syndrome in a Patient with Post Streptococcal Glomerulonephritis: A Case Report. Journal of Nepal Medical Association, 58, 1072-1074.
https://pmc.ncbi.nlm.nih.gov/articles/PMC8028524/
[15] 隋长君. 子痫前期并发HELLP综合征早识别、早干预对妊娠结局的影响[J]. 中国医药指南, 2018, 16(29): 59-60.
[16] 王晓临. 单胎妊娠重度先兆子痫并发HELLP综合征22例临床治疗分析[J]. 中国妇幼保健, 2015, 30(9): 1349-1352.
[17] 胡矩锋, 陈梦婕, 刘国莉. 单胎妊娠重度子痫前期并发HELLP综合征26例临床分析[J]. 中国妇产科临床杂志, 2014, 15(4): 301-305.
[18] 中华医学会妇产科学分会妊娠期高血压疾病学组. 妊娠期高血压疾病诊治指南(2020) [J]. 中华妇产科杂志, 2020, 55(4): 227-238.
[19] Women’s Heart Health Group of Chinese Society of Cardiology of Chinese Medical Association, Hypertension Group of Chinese Society of Cardiology of Chinese Medical Association (2020) [Expert Consensus on Blood Pressure Management in Hypertensive Disorders of Pregnancy (2019)]. Chinese Journal of Cardiovascular Diseases, 48, 195-204.
[20] Hauspurg, A. and Jeyabalan, A. (2022) Postpartum Preeclampsia or Eclampsia: Defining Its Place and Management among the Hypertensive Disorders of Pregnancy. American Journal of Obstetrics and Gynecology, 226, S1211-S1221. [Google Scholar] [CrossRef] [PubMed]
[21] 王蕾蕾, 付丽华, 张丹, 等. 两种示踪技术在人脐带间充质干细胞治疗子痫前期大鼠模型中的应用[J]. 中国妇幼保健, 2017, 32(10): 2215-2220.