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Zusammenfassung

Das HELLP-Syndrom (hemolysis, elevated liver enzymes, low platelets) ist eine Sonderform der schweren Präeklampsie, die in einer Häufigkeit von 0,5–1% aller Schwangerschaften auftritt und mit deutlich erhöhtem Risiko für Mutter und Kind einhergeht (perinatale Mortalität 8–37%, mütterliche Mortalität 3–4%) [4, 5, 6, 8]. Die Symptome treten in 70–80% der Fälle präpartal auf (in 10% vor der 27. SSW, in 20% in Terminnähe), in 20–30% post partum, wobei die Erkrankung sehr unterschiedliche Verläufe zeigt (schleichend, intermittierend-wellenförmig, foudroyant). Die Diagnosestellung erfolgt anhand der Laborparameter (LDH oder Haptoglobin, Transaminasen, Thrombozytenzahl) und der klinischen Symptomatik (Leitsymptom: rechtsseitige Oberbauchbeschwerden).

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© 2000 Springer-Verlag Berlin Heidelberg

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Kolben, M. et al. (2000). Geburtsmedizin — Alternative Methoden. In: Berg, D., Diedrich, K., Rauskolb, R. (eds) 52. Kongreß der Deutschen Gesellschaft für Gynäkologie und Geburtshilfe. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-59688-9_8

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  • DOI: https://doi.org/10.1007/978-3-642-59688-9_8

  • Publisher Name: Springer, Berlin, Heidelberg

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