Evidence-based Prognosis for Patients with Postpartum HEELP Syndrome complicated with Acute Renal Failure

VernacularTitle:产后HELLP综合征合并急性肾功能衰竭的循证预后
Author: Aixiang TAN ¹ ; Xiaoyang DENG ; Xiaoling LONG ; Qiukui HAO
Author Information

1. 四川省成都市锦江区妇幼保健院生殖医学中心
Keywords: postpartum HELLP syndrome; acute renal failure; evidence-based prognosis
From: Journal of Shenyang Medical College 2016;18(5):344-346
CountryChina
Language:Chinese
Abstract: Objective:To provide clinical evidence-based prognosis for patients with postpartum HEELP syndrome complicated with acute renal failure. Methods:The clinical question was proposed. Some database was searched to assess the evidence. Results:A total of 4 studies were included,however,the quality of the studies was low. The results of the studies was suitable for our patients. The death of patients with postpartum HEELP syndrome complicated with acute renal failure was attributed to multiple organ failure. The risk factors for poor prognosis was primipara, delivery after twin pregnancy, absence of typical symptoms, rapid clinical progression, high blood pressure, epigastric pain. Early assessment and diagnosis for maternal and infant, positive in intervention and be caution for the DIC and multiple organ failure, using plasmapheresis can improve the prognosis. Conclusion:Patients with postpartum HEELP syndrome complicated with acute renal failure have an acute process and poor prognosis, especially for patients without typical symptoms.