Conducta Obstétrica en paciente multípara de 32 años con 34 semanas de gestación y síndrome de HELLP.
HELLP syndrome stands for hemolysis, elevated liver enzymes and decreased platelets. This syndrome is a disorder that is associated with severe maternal and fetal morbidity and mortality. To distinguish this syndrome from other disorders that are related to pregnancy commonly becomes a challenge and...
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| Médium: | bachelorThesis |
| Vydáno: |
2021
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| On-line přístup: | http://dspace.utb.edu.ec/handle/49000/10494 |
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Přidat tag | Shrnutí: | HELLP syndrome stands for hemolysis, elevated liver enzymes and decreased platelets. This syndrome is a disorder that is associated with severe maternal and fetal morbidity and mortality. To distinguish this syndrome from other disorders that are related to pregnancy commonly becomes a challenge and therefore may result in a delay in appropriate treatment. The differential diagnosis includes acute fatty liver of pregnancy, antiphospholipid syndrome, thrombotic thrombocytopenic purpura, and hemolytic uremic syndrome. The clinical manifestations can be varied and range from general symptoms such as: fatigue, vomiting and weakness, to severe symptoms such as loss of vision, hepatic and intracranial hemorrhages, among other clinical manifestations. In the present clinical case, it was decided to carry out a study and follow-up of this pathology with a 32-year-old multiparous patient with 34 weeks of gestation, who presented at the Alfredo Noboa Montenegro Hospital. In this way, it details those risk factors that trigger this syndrome, among which are: eclampsia, multiparas (consecutive deliveries), pre-eclampsia or pregnancy-induced hypertension, a previous pregnancy with HELLP syndrome, among others. |
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