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妊娠合并绒毛膜下血肿的诊治

WANG Hai-yan

中国实用妇科与产科杂志2025,Vol.41Issue(11):1069-1073,5.
中国实用妇科与产科杂志2025,Vol.41Issue(11):1069-1073,5.DOI:10.19538/j.fk2025110104

妊娠合并绒毛膜下血肿的诊治

Diagnosis and treatment of subchorionic hematoma during pregnancy

WANG Hai-yan1

作者信息

  • 1. Reproductive Medicine Center,Department of Obstetrics and Gynecology,Peking University Third Hospital,Beijing 100191,China
  • 折叠

摘要

Abstract

Subchorionic hematoma(SCH)is a common cause of threatened miscarriage in the first trimester,and SCH is associated with an increased incidence of adverse pregnancy outcomes,requiring enhanced surveillance during pregnancy.The occurrence of SCH may be related to abnormal coagulation function,autoimmune factors in pregnant women,assisted reproductive technology,medication during pregnancy,oxidative stress,and genital tract infection,and the exact cause of SCH needs to be studied in depth.Patients with small subchorionic hematoma(SCH)without signs of threatened miscarriage are often managed with dynamic observation.For SCH patients with threatened miscarriage,treatment such as inhibition of uterine contractions,anticoagulation or hemostasis,immunotherapy,antioxidation and infection prevention is carried out according to the cause to relieve symptoms and promote hematoma resorption.

关键词

绒毛膜下血肿/妊娠/诊断/治疗

Key words

subchorionic hematoma/pregnancy/diagnosis/treatment

分类

医药卫生

引用本文复制引用

WANG Hai-yan..妊娠合并绒毛膜下血肿的诊治[J].中国实用妇科与产科杂志,2025,41(11):1069-1073,5.

基金项目

首都卫生发展科研专项(2024-1-409) Capital's Funds for Health Improve-ment and Research(2024-1-409) (2024-1-409)

中国实用妇科与产科杂志

OA北大核心

1005-2216

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