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[正常分娩围产期巨大腹膜后血肿,“期待疗法”]

[Giant retroperitoneal hematoma in the peripartum of a normal delivery, "expectative attitude"].

作者信息

Vanlieferinghen S, Piketty M, Blumental Y, Jouannic J-M, Desfeux P, Benifla J-L

机构信息

Hôpital Armand-Trousseau, 26 rue du Dr.-Arnold-Netter, Paris, France.

出版信息

Gynecol Obstet Fertil. 2011 Mar;39(3):e61-3. doi: 10.1016/j.gyobfe.2011.01.002. Epub 2011 Feb 26.

Abstract

We describe a case involving spontaneous retroperitoneal hematoma complicating a normal delivery in a context of a Disseminated Intravascular Coagulation (DIVC) at the end of the pregnancy. Given the defaced symptomatology, an abdomino-pelvic scanner and an examination with a general anaesthesia made it possible to diagnose and to monitor the hematoma in intensive care. The correction of the hemostasis troubles and of the anemia, without another invasive intervention, allowed a return to home at the eighth day. The pathophysiological mechanisms underlying development and practicable treatments of this post-partum hematoma are discussed.

摘要

我们描述了一例在妊娠末期弥散性血管内凝血(DIVC)背景下,正常分娩并发自发性腹膜后血肿的病例。鉴于症状不典型,通过腹盆腔扫描仪检查及全身麻醉下的检查得以诊断并在重症监护中监测血肿情况。在未进行其他侵入性干预的情况下,纠正止血障碍和贫血后,患者于第八天出院。本文讨论了这种产后血肿发生发展的病理生理机制及可行的治疗方法。

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