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Korean Journal of Anesthesiology 1999;36(5):906-910.
DOI: https://doi.org/10.4097/kjae.1999.36.5.906   
Anesthesia for Cesarean Section with HELLP Syndrome: A case report.
Jae Bin Im, Kicheol Kang, Hae Kyun Kim, Choon Kun Chung
Department of Anesthesiology, Inha General Hospital, College of Medicine, Inha University, Sungnam, Korea.
Hemolysis, elevated liver enzymes and low platelets (HELLP) syndrome is a variant presentation of severe preeclampsia/eclampsia. A 24-year old woman presented herself at 34 wk of pregnancy. Based on the clinical and laboratory assessment, HELLP syndrome was diagnosed. Cesarean section was performed under general anesthesia without invasive monitoring due to stable blood pressure. The course of anesthesia and surgery was uneventful and she delivered female neonate weighing 1770 gram. After the operation, the patient was transferred to the intensive care unit immediately. During the intensive care bleeding started and signs of disseminated intravascular coagulopathy showed up. Any improvement was not made after transfusion and every other supportive therapy. By the request of guardian, she was transferred to tertiary hospital, where she died.
Key Words: Anesthesia, obstetric; Pregnancy, preeclampsia, HELLP syndrome


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