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腹腔积血揭示胎盘早剥:一例报告

Placental Abruption Revealed by Hemoperitoneum: A Case Report.

作者信息

Bertholdt C, Vincent-Rohfritsch A, Tsatsaris V, Goffinet F

机构信息

Maternité Port-Royal, Université Paris Descartes, Groupe Hospitalier Cochin Broca, Hôtel-Dieu, Paris, France.

出版信息

AJP Rep. 2016 Oct;6(4):e424-e426. doi: 10.1055/s-0036-1597267.

DOI:10.1055/s-0036-1597267
PMID:27994944
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5161361/
Abstract

Hemoperitoneum is a life-threatening surgical emergency. Diagnosis of the cause is often difficult, in particular, during pregnancy when it may be either obstetric or nonobstetric.  We report the case of a hemoperitoneum caused by the backflow of blood through a uterine tube, due to placental abruption.  Hemoperitoneum in pregnant women with no other signs can reveal placental abruption. The difficulty in identifying the cause may delay appropriate management.

摘要

腹腔积血是一种危及生命的外科急症。病因诊断往往困难,尤其是在孕期,病因可能是产科或非产科的。我们报告一例因胎盘早剥导致血液经输卵管逆流引起腹腔积血的病例。无其他体征的孕妇出现腹腔积血可能提示胎盘早剥。病因识别困难可能会延误恰当的处理。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7817/5161361/630a81223be5/10-1055-s-0036-1597267-i160052-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7817/5161361/630a81223be5/10-1055-s-0036-1597267-i160052-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7817/5161361/630a81223be5/10-1055-s-0036-1597267-i160052-1.jpg

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引用本文的文献

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本文引用的文献

1
Spontaneous splenic rupture in pregnancy.妊娠期自发性脾破裂
Pan Afr Med J. 2015 Aug 28;21:312. doi: 10.11604/pamj.2015.21.312.6878. eCollection 2015.
2
Hemoperitoneum in a patient with spontaneous rupture of the posterior wall of an unscarred uterus in the second trimester of pregnancy.妊娠中期未瘢痕化子宫后壁自发性破裂患者的腹腔积血。
BMC Res Notes. 2015 Oct 24;8:603. doi: 10.1186/s13104-015-1575-0.
3
Endometriosis-Related Hemoperitoneum in Pregnancy: A Diagnosis to Keep in Mind.妊娠期子宫内膜异位症相关腹腔积血:需牢记的一种诊断。
Ochsner J. 2015 Fall;15(3):262-4.
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Spontaneous hepatic rupture during pregnancy in a patient with peliosis hepatis.肝紫癜病患者孕期发生自发性肝破裂。
Ann Hepatol. 2015 Jul-Aug;14(4):553-8.
5
Spontaneous rupture of uterine varicose veins: a rare cause for obstetric shock.子宫静脉曲张自发性破裂:产科休克的罕见原因。
J Obstet Gynaecol Res. 2014 Jun;40(6):1791-4. doi: 10.1111/jog.12402.
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[Abruptio placentae. Diagnosis, management and maternal-fetal prognosis: a retrospective study of 100 cases].[胎盘早剥。诊断、处理及母胎预后:100例回顾性研究]
Gynecol Obstet Fertil. 2014 Feb;42(2):78-83. doi: 10.1016/j.gyobfe.2013.06.012. Epub 2013 Dec 3.
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Spontaneous rupture of uterine varices in third trimester pregnancy: an unexpected cause of hemoperitoneum. A case report and literature review.妊娠晚期子宫静脉曲张自发性破裂:腹腔积血的意外原因。病例报告及文献复习
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[Spontaneous hemoperitoneum during pregnancy and uterine artery aneurysm].[孕期自发性腹腔积血与子宫动脉动脉瘤]
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J Emerg Med. 2011 Jul;41(1):e13-6. doi: 10.1016/j.jemermed.2010.04.023. Epub 2010 Jun 9.