Smith L, Mueller P
Orlando Regional Healthcare System, FL 32806, USA.
Am J Emerg Med. 1996 Jan;14(1):45-7. doi: 10.1016/S0735-6757(96)90013-3.
A 24-year-old woman, G4P3 at 14 weeks gestation, presented to the ED with acute abdominal pain, hemoperitoneum, and fetal demise. Emergent laparotomy showed placenta percreta, requiring hysterotomy for delivery of the fetus and gestational sac followed by oversewing of the uterine defect. Although an uncommon occurrence, clinicians should consider placenta percreta in the gravid patient who presents with acute abdominal pain and shock.
一名24岁女性，孕4产3，妊娠14周，因急性腹痛、腹腔积血和胎儿死亡就诊于急诊科。急诊剖腹探查显示胎盘植入穿透性胎盘，需要行子宫切开术娩出胎儿和妊娠囊，随后缝合子宫缺损。尽管这种情况并不常见，但临床医生对于出现急性腹痛和休克的妊娠患者应考虑穿透性胎盘植入的可能。
