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British Journal of Anaesthesia, 1995, Vol. 74, No. 4 464-468
© 1995 The Board of Management and Trustees of the British Journal of Anaesthesia

case-report

Thrombelastography reveals two causes of haemorrhage in HELLP syndrome

R. K. S. WHITTA, FRCA, D. J. A. COX, MSC and S. V. MALLETT, FRCA

Department of Anaesthetics, Royal Free Hospital Pond Street, London NW3 2QG

We describe the use of thrombelastography in HELLP syndrome (Haemolysis, Elevated Liver Enzymes, Low Platelets). It differentiated between two possible causes of significant haemorrhage and revealed an accompanying underlying fibrinolysis. This allowed specific therapy to be directed at both abnormalities and, we believe, helped prevent this patient from undergoing radical surgery to curb blood loss.


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