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剖宫产瘢痕部位异位妊娠:超声诊断

Cesarean Scar Ectopic Pregnancy: Diagnosis With Ultrasound.

作者信息

Hoffman Taryn, Lin Judy

机构信息

Maimonides Medical Center, Department of Emergency Medicine Brooklyn, New York.

出版信息

Clin Pract Cases Emerg Med. 2020 Jan 15;4(1):65-68. doi: 10.5811/cpcem.2019.10.43988. eCollection 2020 Feb.

Abstract

We present a rare case of cesarean scar ectopic pregnancy as diagnosed by transvaginal ultrasonography. Cases such as this are rare, but they are becoming more commonly detected with the growing frequency of cesarean sections, improving technology, and provider proficiency with point-of-care ultrasound. Quick identification of this dangerous diagnosis can be life saving for the patient, as the outcomes of ruptured cesarean ectopic pregnancy may include significant hemorrhage, uterine rupture, and possibly maternal death.

摘要

我们报告一例经阴道超声诊断的剖宫产瘢痕部位异位妊娠罕见病例。此类病例虽罕见,但随着剖宫产手术频率增加、技术进步以及医护人员床旁超声操作熟练度提高,其检出率正变得越来越高。对这种危险诊断的快速识别可为患者挽救生命,因为剖宫产瘢痕部位异位妊娠破裂的后果可能包括严重出血、子宫破裂,甚至可能导致产妇死亡。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/baea/7012561/5440c7c6da2b/cpcem-04-65-g001.jpg

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