Grundmann U, Ertan A K, Jacob S, Kreuer S
Klinik für Anaesthesiologie, Intensivmedizin und Schmerztherapie, Universitätsklinikum des Saarlandes, 66421 Homburg/Saar.
Anaesthesist. 2007 Aug;56(8):793-6. doi: 10.1007/s00101-007-1203-z.
Placenta increta is a rare but potentially life-threatening risk constellation after a previous caesarean section. We present the case of a 29-year-old gravida 2 para 1 patient, who developed dramatic haemorrhaging caused by this abnormal placentation, which could only be resolved by a postpartal hysterectomy. This demonstrates that in the case of a combination of the two most common predisposing factors, repeat caesarean section and placenta praevia, the possibility of a placenta increta should be considered and suitable precautions should be taken.
胎盘植入是既往剖宫产术后一种罕见但可能危及生命的风险组合。我们报告一例29岁、孕2产1的患者，其因这种异常胎盘植入而发生严重出血，只能通过产后子宫切除术解决。这表明，在重复剖宫产和前置胎盘这两个最常见的易感因素同时存在的情况下，应考虑胎盘植入的可能性并采取适当的预防措施。
