A hematologist receives a call from a maternal-fetal medicine (MFM) physician about a previously healthy patient who became ill at 25 weeks' gestation. Her mental status is deteriorating. There are signs of fetal distress. Platelet count and hemoglobin are falling. The MFM physician is considering the hemolysis, elevated liver enzymes and low platelet count (HELLP) syndrome. For the hematologist, everything seems unfamiliar. Our goal is to provide hematologists with the fundamental knowledge required for understanding and managing these patients who become suddenly and seriously ill during pregnancy and in whom thrombocytopenia and microangiopathic hemolytic anemia are part of their presentation.

中文翻译：

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妊娠期严重血小板减少症和微血管病性溶血性贫血：血液科医生咨询指南

血液科医生接到母胎医学 (MFM) 医生的电话，称一名原本健康的患者在妊娠 25 周时患病。她的精神状态每况愈下。有胎儿宫内窘迫的迹象。血小板计数和血红蛋白正在下降。MFM 医生正在考虑溶血、肝酶升高和血小板计数低 (HELLP) 综合征。对于血液学家来说，一切似乎都很陌生。我们的目标是为血液学家提供了解和管理这些在怀孕期间突然患重病且以血小板减少症和微血管病性溶血性贫血为表现的患者所需的基础知识。