完全性前置胎盘原位保留——延迟子宫切除术治疗：病例报告
Placenta previa percreta left in situ - management by delayed hysterectomy: a case report.
作者信息
Tikkanen Minna, Stefanovic Vedran, Paavonen Jorma
机构信息
Helsinki University Hospital, Department of Obstetrics and Gynecology, Helsinki, Finland.
出版信息
J Med Case Rep. 2011 Aug 25;5:418. doi: 10.1186/1752-1947-5-418.
Abstract
INTRODUCTION
Placenta percreta is an obstetric emergency often associated with massive hemorrhage and emergency hysterectomy.
CASE PRESENTATION
We present the case of a 30-year-old African woman, gravida 7, para 5, with placenta percreta managed by an alternative approach: the placenta was left in situ, methotrexate was administered, and a delayed hysterectomy was successfully performed.
CONCLUSIONS
Further studies are needed to develop the most appropriate management option for the most severe cases of abnormal placentation. Delayed hysterectomy may be a reasonable strategy in the most severe cases.
摘要
引言
穿透性胎盘植入是一种产科急症，常伴有大量出血及急诊子宫切除术。
病例报告
我们报告一例30岁非洲女性病例，孕7产5，采用替代方法处理穿透性胎盘植入：胎盘原位保留，给予甲氨蝶呤，并成功实施了延迟子宫切除术。
结论
需要进一步研究以制定针对最严重胎盘植入异常病例的最恰当管理方案。在最严重的病例中，延迟子宫切除术可能是一种合理的策略。
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