PDF(Pubmed)
Abstract：
A 22-year-old pregnant woman was transferred from an external medical facility after experiencing an eclamptic seizure linked to hemolysis, elevated liver enzymes and low platelet count syndrome (HELLP) syndrome, and posterior reversible encephalopathy syndrome (PRES). Her situation was further complicated by intrauterine fetal demise and disseminated intravascular coagulation, necessitating a comprehensive multidisciplinary approach. This report details the diagnostic process and challenges in managing this complex patient with diverse medical requirements. Emphasis is placed on the observed hemostatic abnormalities, and we delineate the nuances in our approach compared to managing a similar condition in a nonpregnant patient. Heightened awareness among healthcare professionals is imperative for prompt diagnosis and effective intervention in such uncommon neurological complications during pregnancy.
摘要：
一名22岁的孕妇在经历了与溶血有关的子痫发作后，从外部医疗机构转移过来，肝酶升高和低血小板计数综合征（HELLP）综合征，和后部可逆性脑病综合征（PRES）。她的情况因宫内胎儿死亡和弥散性血管内凝血而更加复杂，需要采取全面的多学科方法。本报告详细介绍了在管理这种具有不同医疗要求的复杂患者方面的诊断过程和挑战。重点放在观察到的止血异常上，我们描绘了我们的方法中的细微差别相比，管理一个非妊娠患者的类似情况。提高医疗保健专业人员的意识对于及时诊断和有效干预妊娠期间这种罕见的神经系统并发症至关重要。
