title: [HELLP syndrome--4 case reports].
abstract: HELLP-syndrome (H - haemolysis, EL - elevated liver enzymes, LP - low platelet count) is a serious complication of pregnancy. It can be considered as a variant of severe preeclampsia, where haemolysis, hepatic damage (elevated liver enzymes) and thrombocytopenia (low platelets) are all present. Four case reports of HELLP-syndrome are described. HELLP-syndrome may develop within a few hours. It can be seen pre-, intra- and postpartum. Many patients do not exhibit a clinical picture of severe preeclampsia. Patients who develop HELLP-syndrome usually complain of malaise, nausea, epigastric pain and headache. The diagnosis is confirmed when haemolysis, elevated liver enzymes and thrombocytopenia are demonstrated. Patients with HELLP-syndrome require intensive care by a team of obstetricians, anaesthesiologists and haematologists.
authors.affiliation: Kvinneklinikken, Aker sykehus, Oslo.
authors.forename: B
authors.initials: B
authors.lastname: Lorentzen
authors.forename: M
authors.initials: M
authors.lastname: Endresen
authors.forename: T
authors.initials: T
authors.lastname: Henriksen
authors.forename: G
authors.initials: G
authors.lastname: Narverud
mesh_terms: D000328:Adult; D005260:Female; D017359:HELLP Syndrome / Q000453:epidemiology; D006801:Humans; D009664:Norway / Q000453:epidemiology; D011247:Pregnancy; D011379:Prognosis
vernacular_title: HELLP-syndromet--fire kasuistikker.