早发型重度子痫前期合并HELLP综合征产妇1例并文献复习

Early-Onset Severe Preeclampsia Complicated with HELLP Syndrome: A Case Report and Literature Review

摘要: 目的：探讨早发型重度子痫前期合并HELLP综合征的临床表现、早期诊断方法及治疗方案。方法：对青岛大学附属医院产科收治的1名早发型重度子痫前期合并HELLP综合征的患者进行病例分析并复习相关文献。结果：本例患者为早发型重度子痫前期合并HELLP综合征患者，剖宫产终止妊娠为首选治疗方法。结论：早发型重度子痫前期患者，若孕周 < 24周，应终止妊娠；若孕周28~34周，一般情况可考虑期待治疗，若合并严重并发症，应于24小时内终止妊娠。

Abstract: Objective: To investigate the clinical manifestations, early diagnostic methods, and treatment op-tions of early-onset severe preeclampsia complicated by HELLP syndrome. Methods: One patient with early-onset severe preeclampsia complicated with HELLP syndrome who was admitted to the Affiliated Hospital of Qingdao University was analyzed and the relevant literatures were reviewed. Results: Patient with Early-onset severe preeclampsia complicated with HELLP syndrome should undergo caesarean operation. Conclusions: Patients with early-onset severe preeclampsia, if gesta-tional age is < 24 weeks, pregnancy should be terminated; if patients’ general conditions are great, expectant management may be considered at 28~34 weeks; and pregnancy should be terminated within 24 hours of presentation with major complications.