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[刮宫术中严重出血的病例研究:动静脉畸形还是孕早期胎盘植入?]

[Case study of a severe hemorrhage during a dilatation and curettage: Arteriovenous malformation or first trimester placenta accreta?].

作者信息

Marcellin L, Haddad B, Kayem G

机构信息

Department of Obstetrics and Gynecology, University Paris-XII, CHI de Créteil, 40, avenue de Verdun, 94010 Créteil, France.

出版信息

J Gynecol Obstet Biol Reprod (Paris). 2010 Jun;39(4):331-6. doi: 10.1016/j.jgyn.2010.03.009.

Abstract

A 27-year-old woman had a uterine curettage that was complicated by a severe hemorrhage. Ultrasonography and MRI showed a vascular lesion of the uterine fundus suspected to be an atypical arteriovenous malformation. The lesion spontaneously disappeared 2months later. The two most likely diagnoses are an arteriovenous malformation or a placenta accreta. The aim is to discuss the etiology of this serious complication from a case report of a severe hemorrhage during a uterine curettage.

摘要

一名27岁女性接受了刮宫术,术后并发严重出血。超声检查和磁共振成像显示子宫底部有一个血管病变,怀疑是不典型动静脉畸形。该病变在2个月后自行消失。最有可能的两种诊断是动静脉畸形或胎盘植入。目的是通过一例刮宫术中严重出血的病例报告来探讨这一严重并发症的病因。

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