2013, Number 606
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Rev Med Cos Cen 2013; 70 (606)
Síndrome de hellp
Núñez RD
Language: Spanish
References: 11
Page: 203-209
PDF size: 201.51 Kb.
ABSTRACT
HELLP syndrome represents a
variety of severe preeclampsia
constituted by hemolysis,
elevated liver enzymes and
thrombocytopenia that presents
during the prepartum period
or during the immediate
puerperium as either a
progressive or a sudden
disease. As in preeclampsia
its pathogenesis still remains
unknown; however it is well
known the need for aggressive
management in a specialized
delivery unit to avoid maternal
and perinatal complications.
Despite representing a true
obstetric emergency there’s still
unknown matters regarding
HELLP´s syndrome diagnostic
criteria and on corticosteroid
use benefit as a therapeutic tool.
REFERENCES
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Bombrys AE, Barton JR, Nowacki EA, et al. Ext management of severe preeclamsia at less than 27 weeks´ gestation: maternal and perinatal outcomes according to gestacional age by weeks at onset of expectant management. Am J Obstet Gynecol 2008; 199:247.e1-247.e6.
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Katz L, de Amorim MMR, Figueiroa JN, et al. Postpartum dexamethasone for women with hemolysis, elevated liver enzymes, and low platelets (HELLP) syndrome: a double- blind, placebo controlled, rondomized clinical trial. Am J Obstet Gynecol 2008;198:283.e1-283.e8.
Martin Jr N. James, Rose H. Cristian, Understanting and managing HELLP syndrome: The integral role of aggressive glucocorticoids for mother and child, American Journal of Obstetrics and Gynecology (2006) 195.914-34
O ´brien M. Jhon, Barton R Jhon, Controversias with the diagnosis and Management of HELLP síndrome, Clinical Obstetrics and Gynecology 2005, 48 (2):460-477
Sep S, Verbeek J, Koek G, et al. Clinical differences between earlyonset HELLP syndrome and earlyonset preeclampsia during pregnancy and at least 6 months postpartum. Am J Obstet Gynecol 2010;202:271.e1-5.
Stella L. Caroline, Malik M. Khurram, Sibai M. Baha. HELLP syndrome: an atypical presentation. Am J Obstet Gynecol 2008; May;198(5):e6-8