- 期刊
HELLP Syndrome with Antepartum Pulmonary Edema-A Case Report
HELLP症候群合併産前肺水腫－病例報告
摘要
本病例陳述一名44歲懷孕婦女於懷孕29週時發生HELLP症候群，於緊急剖腹産前因給予新鮮冷凍血漿6單位及血小板6單位以致發生急性肺水腫現象，經緊急插管和全身麻醉，産婦順利生下一名男嬰，並在加護病房積極治療數日後平安出院。從本病例中我們學習到適當的侵襲性監測以及凖確的判讀與評估對於此類病人輸液治療的重要性。
並列摘要
A 44-year-old pregnant female with a gestation of 29 weeks suddenly developed abdominal pain, nausea, vomiting, and laboratory study showed anemia, elevated liver enzymes, and lower platelets. HELLP syndrome was diagnosed and urgent delivery was needed. In order to correct the plasma volume and platelet deficiency, 6 units of both fresh frozen plasma and platelets, were given before operation. However, acute pulmonary edema was noted in the antepartum period. After vigorous treatment, she gave birth to a male infant. The postoperative course was smooth and she and her baby were discharged eleven days later. This case reminded us once again of the importance and necessity of invasive monitoring in fluid management of these patients.
延伸閱讀
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