Romem Ayal, Romem Yitzhak
Women's Health Center, Health Services, Clalit-Negev District, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer Sheva, Israel.
J Reprod Med. 2003 Jul;48(7):566-8.
Physical findings of abdominal trauma in pregnancy are often minimal or absent in spite of the poor outcome.
A healthy, 28-year-old, Caucasian woman, gravida 3, para 2, underwent amniocentesis due to unexplained elevated maternal serum alpha-fetoprotein. The fluid was dark brown, evidence of an old intrauterine hemorrhage. Two weeks prior to blood sampling the patient experienced blunt abdominal trauma. In the emergency room no abnormal signs were found on physical examination.
Abdominal trauma in pregnancy should be suspected in the case of elevated maternal serum alpha-fetoprotein and dark brown amniotic fluid.
尽管妊娠腹部创伤的后果严重，但体格检查结果往往不明显或无异常。
一名健康的28岁白人女性，孕3产2，因不明原因的母体血清甲胎蛋白升高接受羊膜穿刺术。羊水呈深褐色，提示陈旧性子宫内出血。在采血前两周，该患者遭受了腹部钝性创伤。在急诊室体格检查未发现异常体征。
当母体血清甲胎蛋白升高且羊水呈深褐色时，应怀疑妊娠合并腹部创伤。
