Gómez Gutiérrez-Solana I, Larrañaga C
Servicio de Obstetricia y Ginecología, Hospital Virgen del Camino, Pamplona, 31008, Spain.
An Sist Sanit Navar. 2009;32 Suppl 1:81-90. doi: 10.23938/ASSN.0190.
A haemorrhage is one of the most frequent, and potentially most serious, causes for emergency consultation during gestation. In this review we offer an overall approach to managing a pregnant woman who attends Accidents and Emergencies due to vaginal bleeding and then, in a more specific way, we consider how to manage some of the most frequent entities of the obstetric haemorrhage. With respect to haemorrhages in the second trimester, we give greater attention to how to manage a miscarriage, since other entities that are also frequent receive a specific evaluation in other chapters. In the second trimester three entities account for the greatest percentage of haemorrhages, such as placenta praevia, the premature detachment of the normally inserted placenta and uterine rupture. In each case we have evaluated the etiopathology, diagnostic attitude and management in the most systematic way possible.
出血是妊娠期急诊会诊最常见且可能最严重的原因之一。在本综述中，我们提供了一种整体方法，用于处理因阴道出血而前往急诊就诊的孕妇，然后，我们更具体地考虑如何处理产科出血中一些最常见的情况。关于孕中期出血，我们更加关注如何处理流产，因为其他常见情况在其他章节中有专门评估。孕中期，三种情况占出血的比例最大，如前置胎盘、正常附着胎盘的早剥和子宫破裂。在每种情况下，我们都尽可能系统地评估了病因病理、诊断方法和处理措施。
