Kuczkowski Krzysztof M
Department of Anesthesiology, University of California San Diego, USCD Medical Center 200 W. Arbor Drive, San Diego, CA 92103-8770, USA.
Arch Gynecol Obstet. 2006 Mar;273(6):319-21. doi: 10.1007/s00404-005-0104-0. Epub 2005 Dec 9.
Placenta accreta is an abnormal adherence of the placenta to the uterine wall owing to an absent or faulty decidua basalis. The incidence of this devastating problem is increasing secondary to the increased incidence of Cesarean section. Although rare, the diagnosis of placenta accreta may lead to life-threatening complications (e.g., fatal hemorrhage) and significantly impact the obstetric and anesthetic management of these parturients. I herein present the case of a pregnant patient with abnormal placentation and review the current state-of-the-art obstetric and anesthetic management of this complication.
胎盘植入是由于底蜕膜缺失或发育不良导致胎盘异常附着于子宫壁。由于剖宫产率的上升，这个严重问题的发生率正在增加。虽然罕见，但胎盘植入的诊断可能会导致危及生命的并发症（如致命性出血），并对这些产妇的产科和麻醉管理产生重大影响。在此，我介绍一例胎盘植入异常的孕妇病例，并回顾目前针对该并发症的产科和麻醉管理的最新进展。
