HELLP综合征(溶血、肝酶升高、血小板降低)患者肝破裂的氩电凝治疗
Argon beam coagulator for treatment of hepatic rupture with hemolysis, elevated liver enzymes, low platelets (HELLP) syndrome作者机构：University of California Irvine Medical Center Department of Obstetrics and Gynecology 101 The City Drive Orange CA 92868 United States Dr.
出 版 物：《世界核心医学期刊文摘（妇产科学分册）》 (Core Journal in Obstetrics/Gynecology)
年 卷 期：2006年第2卷第11期
页 面：54-54页
学科分类：1002[医学-临床医学] 100211[医学-妇产科学] 10[医学]
主 题：HELLP综合征 肝酶升高 电凝治疗 肝破裂 电凝刀 肝胆科 多学科合作 肝右叶 预后良好 腹部探查
摘 要：BACKGROUND: We present a case of hepatic rupture secondary to hemolysis, elevated liver enzymes, low platelets (HELLP) syndrome and the novel use of the argon beam coagulator in achieving hemostasis. CASE: The patient presented at 33 5/7 weeks of gestation with elevated liver transaminases, thrombocytopenia, and ultrasonographic findings consistent with hepatic rupture. She underwent an emergent cesarean delivery followed by exploration of her abdomen by hepatobiliary surgeons. An expanding hematoma with rupture of the right lobe of the liver was identified. The hematoma was unroofed, and hemostasis was obtained using the argon beam coagulator. The patient was discharged home in good condition 9 days after surgery. CONCLUSION: With a multidisciplinary approach and the argon beam coagulator, we were able to achieve an excellent clinical outcome in a patient with hepatic rupture from HELLP syndrome.
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