Hanstede Miriam M F, van't Hof Dirk B, van Groningen Krijn, de Graaf Irene M
Department of Obstetric and Gynaecology, Spaarne Ziekenhuis, Hoofddorp, The Netherlands.
Fertil Steril. 2008 Nov;90(5):2009.e5-7. doi: 10.1016/j.fertnstert.2008.03.014. Epub 2008 May 1.
To report a supracervical hysterectomy performed after a life-threatening hemorrhage due to an attempted surgical termination at a gestational age of 18 weeks, which appeared to be a cervical pregnancy.
Case report.
Teaching hospital.
PATIENT(S): A 36-year-old pregnant woman, with two previous cesarean sections.
INTERVENTION(S): Supracervical hysterectomy.
MAIN OUTCOME MEASURE(S): Not applicable.
RESULT(S): A stable patient.
CONCLUSION(S): By missing a cervical pregnancy in the second trimester, a life-threatening hemorrhage occurred after an attempted surgical termination. In case of failure of the conservative therapy this rare diagnosis should be considered. A supracervical hysterectomy at this gestational age is the only therapeutic option.
报告一例在孕18周行手术终止妊娠时因危及生命的出血而进行次全子宫切除术的病例，该病例疑似宫颈妊娠。
病例报告。
教学医院。
一名36岁孕妇，既往有两次剖宫产史。
次全子宫切除术。
不适用。
患者病情稳定。
孕中期漏诊宫颈妊娠，手术终止妊娠时发生危及生命的出血。保守治疗失败时应考虑这种罕见诊断。孕龄期行次全子宫切除术是唯一的治疗选择。
Zotero 插件