• 主题
高级搜索  >
历史搜索 清空历史
首页> 美国卫生研究院文献>AJP Reports >A Case Report and Literature Review of Midtrimester Termination of Pregnancy Complicated by Placenta Previa and Placenta Accreta
【2h】

A Case Report and Literature Review of Midtrimester Termination of Pregnancy Complicated by Placenta Previa and Placenta Accreta

机译：妊娠中期妊娠合并前置胎盘和前置胎盘的一例报道并文献复习

代理获取
本网站仅为用户提供外文OA文献查询和代理获取服务，本网站没有原文。下单后我们将采用程序或人工为您竭诚获取高质量的原文，但由于OA文献来源多样且变更频繁，仍可能出现获取不到、文献不完整或与标题不符等情况，如果获取不到我们将提供退款服务。请知悉。
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

>Objective Concurrent placenta previa and placenta accreta increase the risk of massive obstetric hemorrhage. Despite extensive research on the management of placenta previa (including placenta accreta, increta, and percreta), the number and quality of previous studies are limited. We present a case of placenta accreta requiring an induced second-trimester abortion because of premature rupture of the membranes (PROM). >Study Design Case report and review of the literature. >Results A 41-year-old female presented at 20 weeks of gestation with placenta previa and PROM. Ultrasonography revealed placenta accreta with multiple placental lacunae. She then developed massive hemorrhaging just prior to a planned termination of pregnancy. We performed a hysterectomy with the intent of preserving life because of the failure of the placenta to detach and blood loss totaling 4,500 mL. >Conclusion Previous studies suggest that second-trimester pregnancy terminations in cases of placenta previa which are not complicated with placenta accreta do not have a particularly high risk of hemorrhage. However, together with our case, the literature suggests that placenta previa complicated with placenta accreta presents a significant risk of hemorrhage both during delivery and intraoperatively. Further reports are needed to evaluate the most appropriate treatment options.
机译：>客观同时进行前置胎盘和胎盘增生会增加大规模产科出血的风险。尽管对前胎盘的管理（包括胎盘植入，增生和穿孔）进行了广泛的研究，但先前研究的数量和质量有限。我们介绍了由于胎膜早破（PROM）而需要诱导中孕流产的胎盘积压情况。 >研究设计案例报告和文献复习。 >结果一名41岁女性在妊娠20周时出现前置胎盘和PROM。超声检查发现胎盘增生，伴有多个胎盘腔。然后，在计划终止妊娠之前，她开始大量出血。我们进行子宫切除术是为了保留生命，因为胎盘无法分离并且失血总计4,500 mL。 >结论先前的研究表明，在不合并胎盘积压的前置胎盘中，妊娠中期终止妊娠的出血风险不高。然而，与我们的病例一起，文献提示前置胎盘与增生胎盘在分娩过程中和术中均存在明显的出血风险。需要进一步的报告来评估最合适的治疗方案。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
代理获取

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号