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KMID : 0356920120620060575
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Korean Journal of Anesthesiology
2012 Volume.62 No. 6 p.575 ~ p.578
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Anesthetic management of HELLP syndrome complicating primary antiphospholipid syndrome -A case report-
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Jo Youn-Yi
Lee Kyung-Cheon
Kim Hong-Soon
Bae Hyun-Kyung
Chang Young-Jin
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Abstract
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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 × 103/ml and urine protein (4+). We describe the anesthetic experience of catastrophic HELLP syndrome with antiphospholipid syndrome and we review the relevant literature.
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KEYWORD
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Antiphospholipid syndrome, Eclampsia, HELLP
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