title: [The HELLP syndrome--a case report].
abstract: A 31-year-old secundipara with eclampsia developed the HELLP syndrome after delivery. Clinically, along with very high blood pressure values (29.3/17.3 kPa) and eclamptic attacks, an intense pain in the upper abdomen and nausea were dominant. The patient also had severe thrombocytopenia (18 x 10(9)/L), hemolysis, and increased liver enzymes (SGOT up to 220 U/L and SGPT up to 100 U/L). An intensive therapy, including--together with usual interventions in serious EPH gestoses--also plasmapheresis, antithrombin III substitution, freshly frozen plasma, and transfusion of blood and thrombocytes, proved successful in achieving the normalization of the blood pressure, blood count and liver enzymes, as well as a clinical improvement, so that 18 days after delivery it was possible for the patient to go home, provided with necessary instructions.
authors.affiliation: Klinika za zenske bolesti i porodnistvo, Klinicke bolnice, Sestre milosrdnice u Zagrebu.
authors.forename: J
authors.initials: J
authors.lastname: Grujić-Koracin
authors.forename: B
authors.initials: B
authors.lastname: Hodek
authors.forename: J
authors.initials: J
authors.lastname: Mose
authors.forename: M
authors.initials: M
authors.lastname: Koprcina
authors.forename: T
authors.initials: T
authors.lastname: Susković
authors.forename: V
authors.initials: V
authors.lastname: Zach
authors.forename: V
authors.initials: V
authors.lastname: Novak
mesh_terms: D000328:Adult; D004461:Eclampsia / Q000097:blood; D005260:Female; D006461:Hemolysis; D006801:Humans; D008099:Liver / Q000201:enzymology*; D010976:Platelet Count; D011247:Pregnancy; D013577:Syndrome
vernacular_title: HELLP sindrom--uz prikaz bolesnice.