重度子痫前期诱发HELLP综合征合并可逆性后部脑病及影像学特点
Severe Pre-Eclampsia-Induced HELLP Syndrome Combined with Reversible Posterior Encephalopathy and Imaging Features
DOI: 10.12677/ACM.2023.132203, PDF,   
作者: 禹莉莎, 邓文斌, 祁志高*：大理大学第一附属医院妇科，云南 大理
关键词: 重度子痫前期；HELLP综合征；可逆性后部脑病；Severe Pre-Eclampsia； HELLP Syndrome； PRES
摘要: 案例报道了一例34岁的孕妇，在第39周急诊入院，表现为头痛、视力障碍，之后逐渐发展为HELLP综合征合并可逆性后部脑病。辅助检测结果则提示乳酸脱氢酶(LDH)和转氨酶水平升高、血小板计数降低；影像学特征显示后部脑白质变性，MRV显示右横窦略纤细，双侧枕叶皮质下见多发条片状高信息，病灶液体衰减反转恢复序列(FLAIR)呈高信号，弥漫性加权图像(DWI)显条状的高信息影。
Abstract: The case reports a 34-year-old pregnant woman who was admitted to the emergency room at week 39 with headache and visual disturbances, followed by progressive development of HELLP syn-drome with PRES. The MRV showed that the right transverse sinus was slightly slender, and multi-ple strips of hyper information were seen in the subcortex of the bilateral occipital lobes. The focal fluid-attenuated inversion recovery sequence (FLAIR) showed a high signal, and diffusion-weighted images (DWI) showed strips of hyper information.
文章引用：禹莉莎, 邓文斌, 祁志高. 重度子痫前期诱发HELLP综合征合并可逆性后部脑病及影像学特点[J]. 临床医学进展, 2023, 13(2): 1466-1470. https://doi.org/10.12677/ACM.2023.132203

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