• 제목/요약/키워드: HELLP syndrome

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HELLP (hemolysis, elevated liver enzymes, and low platelets) syndrome에 합병된 미만성 폐포출혈 1예 (A Case of Diffuse Alveolar Hemorrhage Complicated by HELLP (Hemolysis, Elevated Liver Enzymes, and Low Platelets) Syndrome)

  • 정우진;허진원;유미현;최영준;전민혁;심재윤;홍상범
    • Tuberculosis and Respiratory Diseases
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    • 제59권4호
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    • pp.418-422
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    • 2005
  • HELLP syndrome에서 여러 출혈 합병증이 보고 되었으나, 아직 미만성 폐포출혈에 대한 보고는 없었다. HELLP syndrome이 합병된 임신 36주 임산부에서 분만 후 혈담과 단순 흉부 방사선 촬영상 양측성폐침윤이 관찰되어 기관지폐포세척술을 통해서 미만성 폐포출혈을 진단 및 치료 후 호전된 예를 경험하였기에 문헌과 함께 보고하는 바이다.

HELLP 증후군 산모에서 무통분만을 위해 시행한 경막외 진통법 -증례 보고- (Epidural Analgesia for Labor Pain Management in a Parturient with HELLP Syndrome -A case report-)

  • 윤채식;이정윤;홍성주;이준학
    • The Korean Journal of Pain
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    • 제12권2호
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    • pp.253-257
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    • 1999
  • Hemolysis, elevated liver enzymes and low platelets (HELLP) syndrome, a variant presentation of severe preeclampsia/eclampsia is associated with high maternal morbidity and mortality. Despite several advantages to the use of epidural analgesia for the management of labor pain in preeclamptic parturients, this procedure is relatively contraindicated in the presence of severe thrombocytopenia. Determining the pain management of choice depends on the parturient's condition, fetal well-being, and the urgency of the situation. We report a safe case of epidural analgesia in a HELLP syndrome parturient with severe thrombocytopenia for labor pain management without any neurologic complications or epidural hematoma.

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Ovarian stimulation and liver dysfunction: Is a clinical relationship possible? A case of hepatic failure after repeated cycles of ovarian stimulation

  • Giugliano, Emilio;Cagnazzo, Elisa;Pansini, Giancarlo;Vesce, Fortunato;Marci, Roberto
    • Clinical and Experimental Reproductive Medicine
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    • 제40권1호
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    • pp.38-41
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    • 2013
  • Liver damage induced by ovarian stimulation has been demonstrated in some cases reported in the literature. However, there has never been a fruitful debate on this topic. The present manuscript tried to fill this gap. We reported a case of a 35-year-old nulliparous woman admitted to our obstetric emergency room for severe pre-eclampsia. She had been subjected to four cycles of controlled ovarian stimulation for intrauterine insemination. At 32 weeks of gestation, she developed severe pre-eclampsia, which led to HELLP syndrome complicated by fatal liver failure. The etiological link between ovarian stimulation and HELLP syndrome is intriguing. Further investigations are needed to understand whether repeated ovarian stimulation may represent a risk factor in pre-eclamptic patients.