妊娠14周时因胎盘植入穿透致腹腔内出血后的妊娠结局。
Pregnancy outcome after intra-abdominal bleeding due to placenta percreta at 14 weeks of gestation.
作者信息
Roeters Annemaaike E, Oudijk Martijn A, Heydanus Roger, Bruinse Hein W
机构信息
Department of Obstetrics, University Medical Center, Utrecht, the Netherlands.
出版信息
Obstet Gynecol. 2007 Feb;109(2 Pt2):574-6. doi: 10.1097/01.AOG.0000254168.73160.21.
BACKGROUND
With the rising rate of cesarean deliveries, the rate of placenta previa and placenta percreta will rise concomitantly resulting in a greater incidence of severe complications.
CASE
This case report describes a pregnancy with a massive intra-abdominal bleeding due to placenta percreta at 14 weeks of gestation. Several management options were discussed, and finally continuation of pregnancy was chosen. No further complications occurred, and in the 35th week, an elective cesarean delivery and hysterectomy were performed. A healthy male newborn of 2,400 g was born.
CONCLUSION
While the outcome of pregnancy was favorable in this case, it does not rule out the possibility of severe complications with this management.
背景
随着剖宫产率的上升，前置胎盘和穿透性胎盘植入的发生率也会随之升高，从而导致严重并发症的发生率更高。
病例
本病例报告描述了一名妊娠14周因穿透性胎盘植入导致腹腔内大量出血的孕妇。讨论了几种处理方案，最终选择继续妊娠。未发生进一步并发症，在孕35周时，进行了择期剖宫产和子宫切除术。娩出一名体重2400g的健康男婴。
结论
虽然该病例妊娠结局良好，但这并不排除这种处理方式发生严重并发症的可能性。
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