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[胎盘植入。剖宫产术后出血与弥散性血管内凝血]

[Placenta accreta. Bleeding and disseminated intravascular coagulation following Cesarean section].

作者信息

Ottesen M

机构信息

Gynaekologisk-obstetrisk afdeling, Amtssygehuset Roskilde.

出版信息

Ugeskr Laeger. 1998 Nov 9;160(46):6659-60.

PMID:9825686
Abstract

A case of placenta accreta in a 30-year old woman with one prior caesarean section is presented. The operative course of her second caesarean section was complicated by mild atonia. The postoperative course was complicated by mild atonia, which was followed by excessive vaginal and intraabdominal bleeding due to atonia and disseminated intravascular coagulation. An abdominal hysterectomy was performed. Risk factors, antenatal diagnostic methods, complications and different treatment aspects are discussed.

摘要

本文介绍了一名30岁经产妇发生胎盘植入的病例。她第二次剖宫产手术过程中出现轻度子宫收缩乏力。术后因轻度子宫收缩乏力出现并发症,继发子宫收缩乏力及弥散性血管内凝血导致阴道和腹腔内大量出血。遂行腹式子宫切除术。文中讨论了危险因素、产前诊断方法、并发症及不同的治疗方面。

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