HELLP syndrome with liver damage: A case report and literature review

doi:10.3969/j.issn.1004-583X.2024.07.011

Abstract

Abstract:

Objective To study the changes and management of HELLP (hemolysis, elevated liver enzymes, low platelet count) syndrome with liver damage. Methods A retrospective analysis of one case of HELLP syndrome with liver damage and a review of relevant literature were conducted. Results A 35-year-old woman with a history of gestational hypertension and eclampsia developed HELLP syndrome with liver damage at 30⁺⁴ weeks of gestation. After treatment with spasm-relieving, blood pressure lowering, liver protection, hormones, plasma exchange and termination of pregnancy, the patient was discharged from hospital after her condition gradually improved. Conclusion Early identification and timely multidisciplinary management are crucial for preventing catastrophic bleeding, liver failure, and death in HELLP syndrome. Considering the severity of the evolution that may occur in young women, it is necessary to correctly diagnose and treat liver complications caused by HELLP syndrome.

Key words: HELLP syndrome, hepatic insufficiency, glucocorticoids, plasma exchange, termination of pregnancy, case report

CLC Number:

R714.245

Liu Yun. HELLP syndrome with liver damage: A case report and literature review[J]. Clinical Focus, 2024, 39(7): 644-649.

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URL: https://huicui.hebmu.edu.cn/EN/10.3969/j.issn.1004-583X.2024.07.011

https://huicui.hebmu.edu.cn/EN/Y2024/V39/I7/644

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References 37

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