The effectiveness of plasmapheresis treatment in the patients with HELLP Syndrome and eclampsia in the intensive care unit

Journal Title: Dicle Tıp Dergisi - Year 2014, Vol 41, Issue 1

Abstract

Objective: In our study we aimed to state the effectiveness of plasmapheresis treatment in the patients with HELLP Syndrome and eclampsia in the intensive care unit. Methods: Patients who are with the diagnosis of HELLP Syndrome and eclampsia in our intensive care unit between the years of 2005-2010 were reviewed retrospectively. The patients’ characteristics, before and postplasmapheresis biochemical and hematological values, urine outputs, APACHE II (Acute Physiology and Chronic Health Evaluation System), GCS, (Glasgow Coma Scoring), SOFA (Sequential Organ Failure Assessment) and MODS Scoring (Multiple Organ Dysfunction Score) are recorded. The effectiveness of plasmapheresis is evaluated. Results: 8 were HELLP Syndrome and 6 were eclampsia of 16 patients. The mean age was 29,5(±5,9). 2 of 6 eclampsia patients and, 1of 8 HELLP Syndrome patient were died. Age, APACHE II, MODS, GCS and the urine output are the significant clinical factors that determines the mortality (p<0.03). After the plasmapheresis therapy a significant improvement was seen in platelet and total protein numbers, MODS score, AST, GGT, LDH, lactate and creatinine levels. (p<0.03) Conclusion: Plasmapheresis treatment in the patients with HELLP Syndrome and eclampsia is a safe method and provides a significant development in biochemical values and patients’ clinics. Key words: HELLP Syndrome, Eclampsia, Plasmapheresis

Authors and Affiliations

Merve Kara, Sanem Turhan, Ali Yılmaz, Mehmet Oral

Keywords

Related Articles

Relationship between varicocele and anthropometric indices in infertile population

Objective: To evaluate relationship between varicocele and anthropometric indexes in patients presenting with infertility. Methods: 600 male patients presenting with infertility were included in this study. The prese...

Surgical treatment of advanced stage Freiberg disease

Objective:Freiberg disesase is an avascular necrosis of the 2nd and 3rd metatarsal head and which kind of surgical option to be used is controversial in symptomatic patients. In this study the results of the advanced st...

Coincidence of right adrenal vein and retroaortic left renal vein variations in a patient undergoing laparoscopic adrenalectomy

In this case, we report an interesting right adrenal vein variation with renovascular variations discovered during the laparoscopic right adrenalectomy. A Sixth eight-year-old woman was referred for treatment of a right...

Rat Overinde İskemi-Reperfüzyon Üzerine N-Asetil Sistein ve Resveratrol’ün Koruyucu Etkisi

Amaç: Bu çalışmanın amacı, rat overinde iskemi-reperfüzyona bağlı doku hasarı üzerine N-asetil sistein ve resveratrol’ün etki­sini değerlendirmektir. Yöntemler: 42 adet dişi Wistar rat temin edildi. Bu ratlar rando­miz...

Üst Gastrointestinal Sistem Kanamalı Hastaların Epidemiyolojisi ve Endoskopik Bulguları

Amaç: Bu çalışmadaki amacımız kliniğimize üst gastroin­testinal kanama (ÜGK) nedeniyle yatırılan hastaların ge­nel özelliklerini ve endoskopik bulgularını tespit etmektir. Yöntemler: Ocak 2014 ile Aralık 2014 tarihleri...

Download PDF file
  • EP ID EP157447
  • DOI 10.5798/diclemedj.0921.2014.01.0394
  • Views 107
  • Downloads 0

How To Cite

Merve Kara, Sanem Turhan, Ali Yılmaz, Mehmet Oral (2014). The effectiveness of plasmapheresis treatment in the patients with HELLP Syndrome and eclampsia in the intensive care unit. Dicle Tıp Dergisi, 41(1), 172-178. https://europub.co.uk/articles/-A-157447