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KMID : 0882420040670050521
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Korean Journal of Medicine
2004 Volume.67 No. 5 p.521 ~ p.527
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Incidence and clinical course of HELLP syndrome in pregnant women
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Kim Jae-Wook
Park Tae-Chul
Kim Young-Soo
Yoon Sun-Ae
Lee Jin-Woo
Hong Sook-Hee
Kwon Jae-Cheol
Kang Yoo-Na
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Abstract
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Background: Although HELLP syndrome (hemolysis, elevated liver enzymes, low platelets) is a serious medical complications including coagulopathy, hypertension, hepatic and renal failures, and pulmonary edema in pregnant women, the data about HELLP syndrome were rarely reported in the medical journal in Korea.
Methods: Nineteen cases of HELLP syndrome were retrospectively studied out of 16,910 pregnant women from January 1998 to March 2004 at Uijongbu St. Mary’s Hospital. We analyzed incidence, clinical symptoms, laboratory findings, maternal and clinical complications and clinical course of HELLP syndrome.
Results: The incidence of HELLP syndrome was 0.27% (19/16,910) in total pregnant women and 4.15% (19/458) in women with preeclampsia. All patients had evidence of hemolysis and serum aspartate aminotransferase level >or= 70 IU/L, and platelet counts
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KEYWORD
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Pregnancy, HELLP syndrome, Preeclampsia, Pregnancy complications
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