隐匿性浸润性完全性前置胎盘：一例罕见病例凸显年轻患者的管理问题

Occult infiltrating placenta previa percreta: an unusual case highlighting the management problems in a young patient.

作者信息

Ruparelia B A, Chapman M G

机构信息

Department of Obstetrics and Gynaecology, Guy's Hospital Medical School, London, U.K.

出版信息

Int J Gynaecol Obstet. 1988 Oct;27(2):285-7. doi: 10.1016/0020-7292(88)90021-5.

DOI:10.1016/0020-7292(88)90021-5

PMID:2903098

Abstract

Placenta previa in association with placenta accreta has been recorded on average in 1 in 500 pregnancies; its association with placenta percreta is a much rarer condition. We report an unusual case of placenta previa which presented as a severe form of occult parasitic infiltration, invading the internal iliac vessels. This was followed by life-threatening complications, despite preventative measures. Use of a prediction index to suspect placenta previa is mentioned.

摘要

前置胎盘合并胎盘植入的发生率平均为每500例妊娠中有1例；其与穿透性胎盘植入的关联则更为罕见。我们报告了一例罕见的前置胎盘病例，该病例表现为一种严重的隐匿性寄生虫浸润形式，侵入了髂内血管。尽管采取了预防措施，但仍出现了危及生命的并发症。文中提到了使用预测指标来怀疑前置胎盘。