HELLP(hemolysis, elevated liver enzymes, and low platelets) syndrome에 합병된 미만성 폐포출혈 1예
A Case of Diffuse Alveolar Hemorrhage Complicated by HELLP(Hemolysis, Elevated Liver Enzymes, and Low Platelets) Syndrome
유미현 (부산대학교)
심재윤 (울산대학교)
홍상범 (울산대학교)
허진원 (울산대학교)
최영준 (울산대학교)
전민혁 (울산대학교)
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초록
HELLP syndrome에서 여러 출혈 합병증이 보고 되었으나, 아직 미만성 폐포출혈에 대한 보고는 없었다. HELLP syndrome이 합병된 임신 36주 임산부에서 분만 후 혈담과 단순 흉부 방사선 촬영상 양측성 폐침윤이 관찰되어 기관지폐포세척술을 통해서 미만성 폐포출혈을 진단 및 치료 후 호전된 예를 경험하였기에 문헌과 함께 보고하는 바이다.
- keywords
- Diffuse alveolar hemorrhage, HELLP syndrome, Disseminated intravascular coagulation., Diffuse alveolar hemorrhage, HELLP syndrome, Disseminated intravascular coagulation.
Abstract
A diffuse alveolar hemorrhage (DAH) is a distinct form of pulmonary hemorrhage that originates from the pulmonary microcirculation. Disseminated intravascular coagulation (DIC) is one cause of DAH. Although HELLP syndrome associated with DIC can cause DAH, there are no published case reports that the authors are aware of. We report the case of a pregnant woman with HELLP syndrome who developed DAH. Because pregnant women with HELLP syndrome can develop DAH as a form of ARDS, a bronchoalveolar lavage may be used to make a differential diagnosis of this lung manifestation. (Tuberc Respir Dis 2005; 59: 418-422)
- keywords
- Diffuse alveolar hemorrhage, HELLP syndrome, Disseminated intravascular coagulation., Diffuse alveolar hemorrhage, HELLP syndrome, Disseminated intravascular coagulation.
참고문헌
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