Zwart Joost J, van Huisseling Hans C M, Schuttevaer Herman M, van Roosmalen Jos, Oepkes Dick
Department of Obstetrics, Leiden University Medical Center, Leiden, The Netherlands.
J Reprod Med. 2007 Oct;52(10):974-6.
A uterine scar is a well-known riskfactorfor both abnormal placentation and uterine rupture, both of which may lead to a serious obstetric hemorrhage.
A 23-year-old woman, gravida 2, para 0 with a history of first-trimester dilatation and curettage (D&C) experienced a life-threatening obstetric hemorrhage due to uterine rupture during manual removal of a placenta increta. Cessation of the bleeding occurred only following secondary embolization after hysterectomy.
Obstetricians should be aware of the risk of uterine scarring and abnormal placentation in women who have undergone D&C, as it could lead to a life-threatening obstetric hemorrhage.
子宫瘢痕是异常胎盘植入和子宫破裂的一个众所周知的危险因素，这两种情况都可能导致严重的产科出血。
一名23岁女性，孕2产0，有早期人工流产刮宫术（D&C）史，在人工清除植入性胎盘时因子宫破裂发生危及生命的产科出血。 hysterectomy.只有在子宫切除术后进行二次栓塞后出血才停止。
产科医生应意识到接受过刮宫术的女性存在子宫瘢痕形成和异常胎盘植入的风险，因为这可能导致危及生命的产科出血。
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