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Anesthetic management of HELLP syndrome complicating primary antiphospholipid syndrome -A case report-
- Jo, Youn Yi;
- Lee, Kyung Cheon;
- Kim, Hong Soon;
- Bae, Hyun Kyung;
- Chang, Young Jin
Citations
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2초록
Antiphospholipid syndrome (APS) is defined as an autoimmune disorder characterized by recurrent thrombosis or obstetrical morbidity. A 29-year-old woman who was diagnosed with APS underwent emergency cesarean delivery at 23 weeks' gestation. She had a seizure attack and her laboratory findings were: AST/ALT 1459/1108 IU/L, LDH 1424 IU/L, 30% hematocrit, a platelet count of 43 × 10 3/ml and urine protein (4+). We describe the anesthetic experience of catastrophic HELLP syndrome with antiphospholipid syndrome and we review the relevant literature. © the Korean Society of Anesthesiologists, 2012.
키워드
Antiphospholipid syndrome; Eclampsia; HELLP; acetylsalicylic acid; alanine aminotransferase; alfentanil; aspartate aminotransferase; diazepam; heparin; hydralazine; immunoglobulin G; immunoglobulin M; magnesium sulfate; nicardipine; prednisolone; rocuronium; sevoflurane; thiopental; adult; alanine aminotransferase blood level; antiphospholipid syndrome; Apgar score; arterial pressure; aspartate aminotransferase blood level; blood pressure; case report; cesarean section; compression garment; emergency surgery; enzyme linked immunosorbent assay; epigastric pain; female; heart rate; HELLP syndrome; hematocrit; hospital discharge; human; intensive care unit; oxygen saturation; postoperative period; protein urine level; pulse oximetry; review; systolic blood pressure; thrombocyte count; tonic clonic seizure
- 제목
- Anesthetic management of HELLP syndrome complicating primary antiphospholipid syndrome -A case report-
- 저자
- Jo, Youn Yi; Lee, Kyung Cheon; Kim, Hong Soon; Bae, Hyun Kyung; Chang, Young Jin
- 발행일
- 2012-06
- 유형
- Review
- 권
- 62
- 호
- 6
- 페이지
- 575 ~ 578