{"id":82,"date":"2009-02-27T18:56:51","date_gmt":"2009-02-27T18:56:51","guid":{"rendered":"https:\/\/medicalcriteria.com\/web\/hemhellp\/"},"modified":"2025-05-14T20:58:15","modified_gmt":"2025-05-14T20:58:15","slug":"hemhellp","status":"publish","type":"post","link":"https:\/\/medicalcriteria.com\/web\/es\/hemhellp\/","title":{"rendered":"Criterios Diagn\u00f3stico para S\u00edndrome HELLP"},"content":{"rendered":"<div class=\"7ca9444b8380138fe077da07353677a4\" data-index=\"1\" style=\"float: none; margin:0px 0 0px 0; text-align:center;\">\n<script async src=\"https:\/\/pagead2.googlesyndication.com\/pagead\/js\/adsbygoogle.js\"><\/script>\r\n<!-- MC 2019- Horizontal -->\r\n<ins class=\"adsbygoogle\"\r\n     style=\"display:block\"\r\n     data-ad-client=\"ca-pub-0127150553352455\"\r\n     data-ad-slot=\"3806776041\"\r\n     data-ad-format=\"auto\"\r\n     data-full-width-responsive=\"true\"><\/ins>\r\n<script>\r\n     (adsbygoogle = window.adsbygoogle || []).push({});\r\n<\/script>\n<\/div>\n<p><\/p>\n<div class=\"Section1\">\n<p style=\"font-weight: 400;\">El diagn\u00f3stico de s\u00edndrome HELLP\u00a0(hem\u00f3lisis, enzimas hep\u00e1ticas elevadas, y plaquetopenia)\u00a0es basado en la presencia de hallazgos caracter\u00edsticos de laboratorio en pacientes con edad gestacional apropiada. Los estudios por im\u00e1genes, particularmente la TC o RNM, son \u00fatiles cuando las complicaciones como infarto hep\u00e1tico, hematomas, o ruptura son sospechadas.<\/p>\n<p><!--more--><\/p>\n<p style=\"font-weight: 400;\">El diagn\u00f3stico es establecido por la presencia de preeclampsia y los siguientes criterios:<\/p>\n<ul style=\"font-weight: 400;\">\n<li>Anemia hemol\u00edtica microangiop\u00e1tica con esquistocitos caracter\u00edsticos en frotis perif\u00e9rico<\/li>\n<li>Conteo plaquetario\u00a0&lt;100.000\u00a0c\u00e9lulas\/\u00b5L<\/li>\n<li>Lactato deshidrogenasa s\u00e9rica &gt;600 IU\/L o bilirrubina total &gt;1,2 mg\/dL<\/li>\n<li>Aspartato aminotransferasa s\u00e9rica (AST) &gt;70 IU\/L<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p style=\"font-weight: 400;\"><strong>Bibliograf\u00eda:<\/strong><\/p>\n<ol>\n<li>Sibai BM, Ramadan MK, Usta I, Salama M, Mercer BM, Friedman SA. Maternal morbidity and mortality in 442 pregnancies with hemolysis, elevated liver enzymes, and low platelets (HELLP syndrome) Am. J. Obstet. Gynecol. 1993 Oct;169(4):1000-6.<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/8238109\/\" target=\"_blank\" rel=\"noopener\">[Medline]<\/a><\/li>\n<li>Barton JR, Riely CA, Adamec TA, Shanklin DR, Khoury AD, Sibai BM. Hepatic histopathologic condition does not correlate with laboratory abnormalities in HELLP syndrome (hemolysis, elevated liver enzymes, and low platelet count) Am. J. Obstet.\u00a0Gynecol. 1992 Dec;167(6):1538-43.\u00a0<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/1471661\/\" target=\"_blank\" rel=\"noopener\">[Medline]<\/a><\/li>\n<\/ol>\n<p>&nbsp;<\/p>\n<p style=\"font-weight: 400;\">Creado: Jul 16, 2007<\/p>\n<p style=\"font-weight: 400;\">\n<\/div>\n<p><\/p>\n\n<div style=\"font-size: 0px; height: 0px; line-height: 0px; margin: 0; padding: 0; clear: both;\"><\/div>","protected":false},"excerpt":{"rendered":"<p>El diagn\u00f3stico de s\u00edndrome HELLP\u00a0(hem\u00f3lisis, enzimas hep\u00e1ticas elevadas, y plaquetopenia)\u00a0es basado en la presencia de hallazgos caracter\u00edsticos de laboratorio en pacientes con edad gestacional apropiada. Los estudios por im\u00e1genes, particularmente la TC o RNM, son \u00fatiles cuando las complicaciones como infarto hep\u00e1tico, hematomas, o ruptura son sospechadas.<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_lmt_disableupdate":"no","_lmt_disable":"no","_exactmetrics_skip_tracking":false,"_exactmetrics_sitenote_active":false,"_exactmetrics_sitenote_note":"","_exactmetrics_sitenote_category":0,"footnotes":""},"categories":[171],"tags":[16,15,14,1484,1747,1381,5,4],"class_list":["post-82","post","type-post","status-publish","format-standard","hentry","category-hematology","tag-criteria","tag-criterios","tag-diagnostic","tag-gynecology","tag-hellp","tag-hematology","tag-sindrome","tag-syndrome"],"modified_by":"Guillermo Firman","_links":{"self":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts\/82","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/comments?post=82"}],"version-history":[{"count":4,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts\/82\/revisions"}],"predecessor-version":[{"id":9077,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts\/82\/revisions\/9077"}],"wp:attachment":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/media?parent=82"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/categories?post=82"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/tags?post=82"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}