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因复杂穿透性胎盘植入行剖宫产子宫切除术中的超大剂量输血及多学科方法:病例报告

Supra-massive transfusion and interdisciplinary approach to cesarean hysterectomy due to complex placenta percreta: Case report.

作者信息

Riveros-Perez Efrain, Sanchez Maria Gabriela, Odo Nadine, Shukla Mrinal, Rungruang Bunya

机构信息

Department of Anesthesiology and Perioperative Medicine, Medical College of Georgia at Augusta University, Augusta, GA, USA.

Outcomes Research Consortium, Cleveland Clinic, Cleveland, OH, USA.

出版信息

SAGE Open Med Case Rep. 2021 Apr 20;9:2050313X211010011. doi: 10.1177/2050313X211010011. eCollection 2021.

DOI:10.1177/2050313X211010011
PMID:33959282
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8060747/
Abstract

Placenta accreta spectrum encompasses a group of conditions of abnormal placental infiltration of the uterine wall and surrounding tissues. It is associated with significant blood loss, perioperative morbidity, and risk of death. A coordinated interdisciplinary approach to these complex cases and early resuscitation with blood products are critical factors in the successful management of patients affected by this disease. We describe the successful management of a patient with placenta percreta who required supra-massive transfusion of blood products and interventions by different specialized teams in a tertiary care center.

摘要

胎盘植入谱系包括一组胎盘异常侵入子宫壁及周围组织的情况。它与严重失血、围手术期发病率和死亡风险相关。对于这些复杂病例采取协调一致的多学科方法以及早期使用血液制品进行复苏,是成功治疗受此病影响患者的关键因素。我们描述了一名完全性胎盘植入患者在三级医疗中心的成功治疗过程,该患者需要大量输血并接受不同专业团队的干预。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9cea/8060747/b51f4cc39843/10.1177_2050313X211010011-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9cea/8060747/2efed6fdd07b/10.1177_2050313X211010011-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9cea/8060747/b51f4cc39843/10.1177_2050313X211010011-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9cea/8060747/2efed6fdd07b/10.1177_2050313X211010011-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9cea/8060747/b51f4cc39843/10.1177_2050313X211010011-fig2.jpg

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Role of albumin in the preservation of endothelial glycocalyx integrity and the microcirculation: a review.白蛋白在维持内皮糖萼完整性和微循环中的作用:综述
Ann Intensive Care. 2020 Jun 22;10(1):85. doi: 10.1186/s13613-020-00697-1.
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The application of prophylactic balloon occlusion of the internal iliac artery for the treatment of placenta accreta spectrum with placenta previa: a retrospective case-control study.
预防性阻断髂内动脉在前置胎盘伴胎盘植入综合征治疗中的应用:一项回顾性病例对照研究。
BMC Pregnancy Childbirth. 2020 Jun 8;20(1):349. doi: 10.1186/s12884-020-03041-4.
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Placenta accreta spectrum: a hysterectomy can be prevented in almost 80% of cases using a resective-reconstructive technique.胎盘植入谱系疾病:采用切除术-重建术,近 80%的病例可避免子宫切除术。
J Matern Fetal Neonatal Med. 2022 Jan;35(2):275-282. doi: 10.1080/14767058.2020.1716715. Epub 2020 Jan 26.
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Reg Anesth Pain Med. 2019 Oct 25. doi: 10.1136/rapm-2019-100752.
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