新医学2018，Vol.49Issue(3)：213-216,4.DOI:10.3969/j.issn.0253-9802.2018.03.016
凶险性前置胎盘一例诊治体会
Experience of diagnosis and treatment of pernicious placenta previa: a case report
张苗苗 1李道成2
作者信息
- 1. 510405广州,广州中医药大学
- 2. 510405广州,广州中医药大学第一附属医院产科
- 折叠
摘要
Abstract
The risk of pernicious placenta previa complicated with placenta accreta has been elevated along with the increase of cesarean section rate.Due to the difficulty of placental stripping,postpartum hemorrhage is one of the serious complications of obstetrics.In this article,we reported one case of placenta previa with a medical history of cesarean section.The patient presented with painless and massive vaginal bleeding during the late stage of pregnancy.She underwent emergent cesarean section.Intraoperatively,she suffered from massive bleeding,hemorrhagic shock and disseminated intravascular coagulation.Intraoperative massive bleeding could not be controled after multidisciplinary emergent treatment.Eventually,she had to undergo hysterectomy and was transferred to the intensive care unit.Postoperative pathological examination prompted the coexistence of placental adhesion and placenta accreta.The mother and infant were both safe.However,she lost the reproduction capability due to uterine removal.Consequently,extensive attention and comprehensive examinations should be performed by experienced obstetricians to make early diagnosis and reduce the missing and misdiagnosis rate of pernicious placenta pevia.关键词
凶险性前置胎盘/胎盘植入/大出血/DIC/子宫切除Key words
Pernicious placenta previa/Placenta accreta/Massive hemorrhage/Disseminated intravascular coagulation/Hysterectomy引用本文复制引用
张苗苗,李道成..凶险性前置胎盘一例诊治体会[J].新医学,2018,49(3):213-216,4.
