Civil I D, Talucci R C, Schwab C W
Department of Surgery, Cooper Hospital/University Medical Center, Rutgers Medical School, Camden, New Jersey.
J Trauma. 1988 May;28(5):708-10. doi: 10.1097/00005373-198805000-00030.
Placental laceration as a result of blunt maternal trauma has rarely been reported. Herein, we report a case of a 17-year-old, 37-week-pregnant woman who presented after a motor vehicle accident. Initial examination showed no fetal heart sounds or movements. Evaluation included enhanced CT scan of the abdomen. Laparotomy and Caesarian section were precipitated by the development of a coagulopathy, at which time the uterus was found to be filled with blood. Although there were no signs of external uterine injury, examination of the placenta showed a large radial laceration. The fetus had no signs of direct trauma.
钝性母体创伤导致的胎盘撕裂很少有报道。在此，我们报告一例17岁、孕37周的孕妇，她在机动车事故后就诊。初步检查未发现胎心音或胎动。评估包括腹部增强CT扫描。因发生凝血病而进行了剖腹术和剖宫产，此时发现子宫内充满血液。虽然子宫外部没有损伤迹象，但对胎盘的检查显示有一处大的放射状撕裂。胎儿没有直接创伤的迹象。
