Barton D P, Turner M J, Stronge J M
Department of Obstetrics and Gynecology, University College Dublin, National Maternity Hospital, Ireland.
Obstet Gynecol. 1989 Sep;74(3 Pt 2):468-9.
Placental separation in the third trimester of pregnancy may be associated with coagulopathy, fetal distress, or intrauterine death. We report a case of vaginal bleeding due to placental separation at 17 weeks' gestation associated with disseminated intravascular coagulation. After treatment with blood, fresh frozen plasma, and fibrinogen, the pregnancy progressed uneventfully for another 12 weeks, when delivery by emergency cesarean section was performed.
妊娠晚期胎盘早剥可能与凝血功能障碍、胎儿窘迫或宫内死亡有关。我们报告一例妊娠17周时因胎盘早剥伴弥散性血管内凝血导致的阴道出血病例。经输血、新鲜冰冻血浆和纤维蛋白原治疗后,妊娠又顺利进展了12周,随后行急诊剖宫产分娩。