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受并发症的庇护:通过胎盘粘连实现胎儿存活

Cocooned by complications: fetal survival through placental adherence.

作者信息

Balachandran Nair Deepa, Beard Marion, Majoko Franz

机构信息

Department of Obstetrics and Gynaecology, Singleton Hospital, Swansea, UK.

出版信息

BMJ Case Rep. 2016 Jun 29;2016:bcr2015213427. doi: 10.1136/bcr-2015-213427.

DOI:10.1136/bcr-2015-213427
PMID:27358091
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4932413/
Abstract

We report a case of a 31-year-old woman with 2 previous caesarean deliveries who presented a diagnostic dilemma. She underwent caesarean section where she was found to have a uterine scar dehiscence with an adherent placenta and required a hysterectomy. While individually representing high risk to the mother and/or fetus, the combination in this case protected the fetus.

摘要

我们报告一例31岁有两次剖宫产史的女性病例,该病例存在诊断难题。她接受了剖宫产,术中发现子宫瘢痕裂开并伴有粘连胎盘,遂行子宫切除术。虽然这些情况单独来看对母亲和/或胎儿均构成高风险,但本病例中的这些情况组合起来却对胎儿起到了保护作用。

相似文献

1
Cocooned by complications: fetal survival through placental adherence.受并发症的庇护:通过胎盘粘连实现胎儿存活
BMJ Case Rep. 2016 Jun 29;2016:bcr2015213427. doi: 10.1136/bcr-2015-213427.
2
[Emergencies in pregnancy--alarm symptoms pain and bleeding. Premature detachment of the placenta, placenta previa, rupture of the uterus].[妊娠急症——警示症状、疼痛及出血。胎盘早剥、前置胎盘、子宫破裂]
MMW Fortschr Med. 2004 May 27;146(22):39-41.
3
[Rupture of the marginal sinus of the placenta].
Rev Colomb Obstet Ginecol. 1969 Sep-Oct;20(5):327-39.
4
RUPTURE OF LOW-SEGMENT CESAREAN SECTION SCARS.下段剖宫产瘢痕破裂
Obstet Gynecol. 1964 Mar;23:460-6.
5
[Total uterine rupture of a cesarean section scar during attempted vaginal delivery under epidural analgesia].[硬膜外镇痛下经阴道试产时剖宫产瘢痕处子宫完全破裂]
Ugeskr Laeger. 1992 Aug 31;154(36):2436-7.
6
[Antepartum bleeding].产前出血
S Afr Med J. 1969 Mar 29;43(13):372-5.
7
Natural history of caesarean scar pregnancy.剖宫产瘢痕妊娠的自然病史。
Ginekol Pol. 2019;90(6):351-352. doi: 10.5603/GP.a2019.0054. Epub 2019 Jun 5.
8
[Scar dehiscence after cesarean section].
Ginekol Pol. 1979 Aug;50(8):713-5.
9
From cesearean scar dehiscence to large incomplete uterine rupture in the second trimester.从剖宫产瘢痕裂开至孕中期巨大不完全性子宫破裂。
Gynecol Obstet Fertil. 2015 Apr;43(4):327-8. doi: 10.1016/j.gyobfe.2015.02.002. Epub 2015 Mar 21.
10
Abruption and premature separation of placenta previa.胎盘早剥与前置胎盘的过早分离。
Eur J Obstet Gynecol Reprod Biol. 1982 Mar;13(2):75-85. doi: 10.1016/0028-2243(82)90003-x.

引用本文的文献

1
Prenatal Detection and Conservative Management of Uterine Scar Dehiscence in Patient with Previous Uterine Rupture and Multiple Surgeries-A Case Report.既往子宫破裂及多次手术患者子宫瘢痕裂开的产前诊断与保守治疗——病例报告
Healthcare (Basel). 2024 May 10;12(10):988. doi: 10.3390/healthcare12100988.

本文引用的文献

1
A systematic review of essential obstetric and newborn care capacity building in rural sub-Saharan Africa.撒哈拉以南非洲农村地区基本产科和新生儿保健能力建设的系统评价。
BJOG. 2015 Jan;122(2):174-82. doi: 10.1111/1471-0528.13218.
2
Spontaneous uterine rupture at non-cesarean section scar site with placenta percreta in the second trimester: a case report.妊娠中期非剖宫产瘢痕部位自发性子宫破裂合并穿透性胎盘植入:一例病例报告
J Med Assoc Thai. 2014 Aug;97 Suppl 8:S208-12.
3
Acute abdomen and massive hemorrhage due to placenta percreta leading to spontaneous uterine rupture in the second trimester.妊娠中期因胎盘植入导致急性腹痛和大量出血,进而引发子宫自发性破裂。
Saudi Med J. 2014 Sep;35(9):1131-2.
4
Placenta previa, placenta accreta, and vasa previa.前置胎盘、胎盘植入和前置血管。
Obstet Gynecol. 2006 Apr;107(4):927-41. doi: 10.1097/01.AOG.0000207559.15715.98.
5
Cesarean delivery in the United Kingdom: time trends in the general practice research database.英国的剖宫产:来自全科医疗研究数据库的时间趋势
Obstet Gynecol. 2005 Jul;106(1):151-5. doi: 10.1097/01.AOG.0000160429.22836.c0.
6
Abnormal placentation: twenty-year analysis.胎盘植入异常:二十年分析
Am J Obstet Gynecol. 2005 May;192(5):1458-61. doi: 10.1016/j.ajog.2004.12.074.
7
Caesarean section rate in England and Wales hits 21.英格兰和威尔士的剖腹产率达到了21% 。 (注:原文“Caesarean section rate in England and Wales hits 21.”表述不太完整,推测这里的21后面应补充类似百分比的单位,翻译时按补充完整后的意思翻译)
BMJ. 2001 Oct 27;323(7319):951.
8
Predicting incomplete uterine rupture with vaginal sonography during the late second trimester in women with prior cesarean.
Obstet Gynecol. 2000 Apr;95(4):596-600. doi: 10.1016/s0029-7844(99)00620-1.
9
Transvaginal ultrasonography for all placentas that appear to be low-lying or over the internal cervical os.对所有看起来位置较低或覆盖宫颈内口的胎盘进行经阴道超声检查。
Ultrasound Obstet Gynecol. 1997 Jan;9(1):22-4. doi: 10.1046/j.1469-0705.1997.09010022.x.
10
Ultrasonographic measurement of lower uterine segment to assess risk of defects of scarred uterus.经超声测量子宫下段以评估瘢痕子宫缺陷风险。
Lancet. 1996 Feb 3;347(8997):281-4. doi: 10.1016/s0140-6736(96)90464-x.