Zhang Z
Clin Exp Obstet Gynecol. 2016;43(4):606-608.
Ruptured vasa previa in tenn pregnancy is rare but usually catastrophic if emergency delivery is not achieved. The authors present a case of ruptured vasa previa in velamentous cord insertion placenta. The fetus survived after intensive treatment immediately after delivery by cesarean section, but, unfortunately, died after the family gave him up. Defects in the vessel wall architecture were'visualized and confirmed by histopathologic examination and might be responsible for the vessel rupture. Prenatal sonographic identification of cord insertion site into the placenta is encouraged as standard of practice to prevent this accident.
前置血管破裂在双胎妊娠中罕见，但如果不能紧急分娩，通常会造成灾难性后果。作者报告一例帆状脐带附着胎盘合并前置血管破裂的病例。剖宫产分娩后立即进行强化治疗，胎儿存活，但不幸的是，在家人放弃治疗后死亡。组织病理学检查发现并证实了血管壁结构缺陷，这可能是血管破裂的原因。鼓励将产前超声识别脐带插入胎盘的部位作为预防此类事故的标准操作。
