60 cases of HELLP syndrome complicated by epilepsy care.docVIP

 PAGE \* MERGEFORMAT 11 60 cases of HELLP syndrome complicated by epilepsy care [Keywords:] gestational hypertension; eclampsia; HELLP syndrome HELLP syndrome is based on the 1982 Weistein gestational hypertension and hemolysis (hemolysis), elevated liver enzymes (elevated liver enzymes), thrombocytopenia (low platelets) (lt;100 109 / L) and named, is the high pregnancy blood pressure, severe complications of disease, with hemolysis, elevated liver enzymes and thrombocytopenia, characterized, and often life-threatening female children [1], pregnancy induced hypertension in the HELLP syndrome was 4% ~ 43%, perinatal children case fatality rate was 60% [2], in the event of mother and child were seriously affected the prognosis. our hospital since 2004 were treated 60 cases of HELLP syndrome complicated by epilepsy in pregnant women, the implementation of integrated care, and achieved good results, are as follows. The clinical data of the 60 patients, aged 26 to 36 years, mean 30 years old, 29 to 38 weeks gestational age, an average of 34 weeks, 32 cases of primipara, the maternal in 28 cases. are abdominal pain, nausea, vomiting, hematuria, elevated blood pressure as the main performance, 34 patients had convulsions and emergency room admissions, 13 cases of intrapartum convulsions. Laboratory tests: hemoglobin 54 ~ 98 g / L, peripheral blood smear shows shaped red blood cells, thrombocytopenia (28 63) 109 / L, serum bilirubin, alanine aminotransferase increased to 58 ~ 97 u / L, lactate dehydrogenase increased, after admission to actively improve the relevant inspection, give antispasmodic, antihypertensive, sedative, expansion and diuretic, oxygen, blood transfusions and other symptomatic treatment, seizures were controlled in a timely manner after termination of pregnancy, in addition to 11 cases of fetal death induced abortion, 3 cases of premature children after she died, the remaining neonatal care neonatal transfer discharged after treatment. Nu