Abstract: HELLP syndrome, the full name of hemolysis-liver transaminase elevation-thrombocytopenia syndrome, refers to pregnancy induced hypertension syndrome with hemolysis, elevated liver function and low platelet count. Gynecology, hepatobiliary surgery and imaging doctors should be familiar with the characteristics of its pathological changes so as to avoid missed diagnosis and misdiagnosis in clinical work. We clinically diagnosed and treated a 36-year-old woman developed HELLP syndrome complicated with hepatic subcapsular hematoma after delivery. In multidisciplinary diagnosis and treatment, close observation of hepatic subcapsular hematoma, conservative treatment was adopted under the condition of stable hemodynamics, and finally the patient's condition improved gradually. The patient is reported as follows.

Key words: pre-eclampsia, HELLP Syndrome, liver diseases

摘要： HELLP综合征全称溶血-肝脏转氨酶增高-血小板减少综合征,是指妊娠期高血压综合症伴有溶血、肝酶升高以及血小板减少的一组临床综合征。是一种急危重症,妇科、肝胆外科和影像科医生应熟悉其病变特征,以免在临床工作中漏诊、误诊。我们临床上诊治了1例36岁在产后出现HELLP综合征,且合并肝包膜下血肿的病例。在多学科诊治,密切观察肝包膜下血肿,血流动力学稳定情况下采取保守治疗后,最终患者病情逐渐好转。

关键词: 先兆子痫, HELLP综合征, 肝疾病