[The HELLP syndrome--3 case reports with clinically different course]

Three case reports of patients with HELLP-syndrome show how different the clinical courses in HELLP-syndrome may be. A maternal case of death after eclampsia and HELLP-syndrome explains that early diagnosis and immediate therapy are important for success in the treatment of HELLP-syndrome. After delivery--at present the only efficient causal therapy (we recommend a quick cesarean section after making the diagnosis)--an increase of the number of thrombocytes and a normalization of the liver enzymes can be observed within a few days. An intensive co-operation of obstetricians, anesthetists, and pediatricians in the treatment of patients with HELLP-syndrome is necessary.