Innes G, Rosen P
J Emerg Med. 1985;2(5):361-6. doi: 10.1016/0736-4679(85)90291-4.
A near fatal case of spontaneous uterine rupture resulting from placenta percreta is presented. Placenta accreta refers to all conditions in which placental villi attach to, invade, or penetrate the myometrium. Placenta percreta is the most extreme form of morbid placental attachment and is said to exist when the uterine wall is completely breached by invading placental villi. Although uncommon, placenta percreta is an important entity of which the emergency physician should be aware because of its propensity to cause uterine rupture and catastrophic bleeding. This article reviews the pathophysiology, presentation, diagnosis, and emergency department management of placenta accreta, increta, and percreta.
本文介绍了一例因穿透性胎盘植入导致的近乎致命的自发性子宫破裂病例。胎盘植入是指胎盘绒毛附着于、侵入或穿透子宫肌层的所有情况。穿透性胎盘植入是胎盘异常附着的最极端形式，当侵入性胎盘绒毛完全穿透子宫壁时即认为存在穿透性胎盘植入。尽管罕见，但穿透性胎盘植入是急诊科医生应了解的重要病症，因为它容易导致子宫破裂和灾难性出血。本文综述了胎盘植入、侵入性胎盘植入和穿透性胎盘植入的病理生理学、临床表现、诊断及急诊科处理。
