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Uterus preservation after placenta percreta and uterine rupture A case report

机译：胎儿植物植物和子宫破裂后的子宫保存案例报告

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Placenta percreta and uterine rupture are associated with possible massive intraperitoneal bleeding, which can be fatal if not recognised. We describe a case of a 40-year-old multigravida with a history of two instances of placenta percreta and three instances of uterine rupture, previous artificial abortion, and uterine curettage. The patient’s uterus had been preserved after undergoing an emergency uterus repair operation and a scheduled caesarean within 5 years. This case report aimed to contribute to the knowledge of the early diagnosis of placenta percreta and highlights the advantages of uterus preservation, including psychological reasons and the ability to bear children in the future. In summary, it is clear that the steadily increasing rate of deliveries may result in an increased number of abnormal placentation cases. Abnormal placentation is one of the most important risk factors of severe obstetric complications, including perinatal massive haemorrhage. Therefore, prenatal diagnosis and identification of abnormal placentation are vital in order to plan appropriately the date, place, and mode of delivery, as well as to ensure the availability of highly qualified specialists in the field of obstetrics and anaesthesia and ensure availability of a sufficient amount of blood products and blood substitutes.
机译：胎盘Percreta和子宫破裂与可能的大规模腹膜内出血有关，如果未识别，这可能是致命的。我们描述了一个40岁的多里拉瓦拉的案例，具有两种胎盘植物的历史，并且子宫破裂的三种情况，以前的人工流产和子宫刮宫。在5年内在进行急救子宫修复操作和预定的剖腹产后，患者的子宫已被保存。本案例报告旨在有助于了解胎盘Percreta早期诊断，并突出了子宫保护的优势，包括心理原因和未来携带儿童的能力。总之，很明显，稳步增加的交付率可能导致咬合案例的异常数量增加。异常映射是严重产科并发症的最重要的危险因素之一，包括围产期大量出血。因此，产前诊断和识别异常寄养是至关重要的，以适当的日期，地方和交付方式计划，并确保妇产科和麻醉领域的高素质专家的可用性，并确保足够的可用性血液产品和血液替代品。

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