Coagulation studies in the syndrome of haemolysis, elevated liver enzymes and low platelets.

作者: K. BOER , H. R. BULLER , J. W. CATE , P. E. TREFFERS

DOI: 10.1111/J.1471-0528.1991.TB10309.X

关键词: GastroenterologyDisseminated intravascular coagulationHaemolysisCoagulationMedicineInternal medicineCoagulation testingHELLP syndromeGestational hypertensionCoagulopathyEndocrinologyAntithrombin

摘要: Abstract The presence of disseminated intravascular coagulation (DIC) in the syndrome haemolysis, elevated liver enzymes and low platelets (HELLP) is debated. We assessed occurrence decompensated compensated DIC (using predefined criteria) 15 consecutive nulliparous pregnant patients with gestational hypertension combined HELLP 12 controls pregnancy induced (PIH) but without syndrome. A combination routine assays revealed absence all studied patients. However, using more specific sensitive assays, was observed three control group. mean values antithrombin III, thrombin-antithrombin III complexes protein C group were 66 vs 87% (P = 0.0004), 21 8 ng/ml 0.0008) 57 90% 0.0018) respectively. conclude that show evidence which may have pathophysiological significance for organ damage.

参考文章(22)
N L Dover, R G Brame, J MacKenna, Preeclampsia associated with hemolysis, elevated liver enzymes, and low platelets--an obstetric emergency? Obstetrics & Gynecology. ,vol. 62, pp. 751- 754 ,(1983)
Kelton Jg, Andrew M, Hunter Dj, Burrows Rf, A prospective study investigating the mechanism of thrombocytopenia in preeclampsia. Obstetrics & Gynecology. ,vol. 70, pp. 334- 338 ,(1987)
J A Hoek, A Sturk, J W ten Cate, R J Lamping, F Berends, J J Borm, Laboratory and clinical evaluation of an assay of thrombin-antithrombin III complexes in plasma. Clinical Chemistry. ,vol. 34, pp. 2058- 2062 ,(1988) , 10.1093/CLINCHEM/34.10.2058
Fritz K. Beller, Withold R. Dame, Christa Ebert, Pregnancy induced hypertension complicated by thrombocytopenia, haemolysis and elevated liver enzymes (HELLP) syndrome. Renal biopsies and outcome. Australian & New Zealand Journal of Obstetrics & Gynaecology. ,vol. 25, pp. 83- 86 ,(1985) , 10.1111/J.1479-828X.1985.TB00613.X
James M Roberts, Robert N Taylor, Thomas J Musci, George M Rodgers, Carl A Hubel, Margaret K McLaughlin, None, Preeclampsia: an endothelial cell disorder. American Journal of Obstetrics and Gynecology. ,vol. 161, pp. 1200- 1204 ,(1989) , 10.1016/0002-9378(89)90665-0
Brenda Gibson, David Hunter, Peter Neame, John Kelton, Thrombocytopenia in Preeclampsia and Eclampsia Seminars in Thrombosis and Hemostasis. ,vol. 8, pp. 234- 247 ,(1982) , 10.1055/S-2007-1005054
H.C.S. Wallenburg, J.W. Makovitz, G.A. Dekker, P. Rotmans, LOW-DOSE ASPIRIN PREVENTS PREGNANCY-INDUCED HYPERTENSION AND PRE-ECLAMPSIA IN ANGIOTENSIN-SENSITIVE PRIMIGRAVIDAE The Lancet. ,vol. 327, pp. 1- 3 ,(1986) , 10.1016/S0140-6736(86)91891-X