[The HELLP syndrome--a challenge to the obstetrician and the intensive care therapist].
The HELLP-syndrome is a severe complication in late pregnancy. The etiology is still largely unknown. It is defined as a separate disease but also as a severe course of EHP-gestosis. It is mainly characterised by increased liver enzymes, a low platelet count, increased haemolysis and hypertension. According to primary organ affection, neurological symptoms and acute respiratory distress syndrome, acute renal insufficiency and/or upper abdominal complaints may occur. The only causal therapy is immediate caesarean section. Postoperative intensive care must be guaranteed. As a gentle anaesthetic method neuroleptanalgesia is recommended. Based on 7 of our own case reports, pathophysiology and therapy are discussed.
Hensel
M
M
Klinik für Anästhesiologie und Intensivtherapie, Städtisches Krankenhaus im Friedrichshain.
Dressler
C
C
D000328:Adult; D000773:Anesthesia, Obstetrical; D002585:Cesarean Section; D005260:Female; D017359:HELLP Syndrome / Q000601:surgery; D006801:Humans; D015931:Intensive Care, Neonatal; D009458:Neuroleptanalgesia; D011247:Pregnancy
Das HELLP-Syndrome--eine Herausforderung an den Geburtshelfer und Intensivtherapeuten.