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溶血、肝酶升高和低血小板(HELLP综合征)是严重先兆子痫/子痫所引起,发病率约4～12％。临床表现为溶血、谷草和谷丙转氨酶(SGOT、SGPT)升高和血小板减少(低于100×10~9·L~(-1))。最初出现腹痛和恶心、呕吐等上消化道症状,易被误诊或延迟诊断。妊娠合并HELLP综合症,则围产期病态发生率和死亡率均明显增高。作者报道33例合并HELLP综合征产妇的麻醉处理。此33例孕妇的平均年龄26.5±4.2岁.妊娠平均34±2.8周,其中11例妊娠不足34周。最常见的主诉是右上腹或上腹部疼痛25例(76％),
Hemolysis, elevated liver enzymes, and low platelets (HELLP syndrome) are caused by severe pre-eclampsia / eclampsia, with a morbidity of about 4 to 12%. Clinical manifestations of hemolysis, aspartate and alanine aminotransferase (SGOT, SGPT) increased and thrombocytopenia (less than 100 × 10 ~ 9 · L -1). Initially abdominal pain and nausea, vomiting and other upper gastrointestinal symptoms, easily misdiagnosed or delayed diagnosis. Pregnancy complicated with HELLP syndrome, the perinatal morbidity and mortality were significantly increased. The authors report the anesthesia of 33 women with HELLP syndrome. The average age of the 33 pregnant women was 26.5 ± 4.2 years, with an average pregnancy of 34 ± 2.8 weeks, of whom 11 had less than 34 weeks’ gestation. The most common complaints were right upper quadrant or upper abdominal pain in 25 cases (76%),