https://scholars.lib.ntu.edu.tw/handle/123456789/344329
標題: | Antenatally ultrasound-impressed placenta percreta complicated with massive hemorrhage despite a combinational arterial embolization and two-stage surgery | 作者: | MING CHEN | 關鍵字: | Arterial embolization; Placenta percreta; Postpartum hemorrhage | 公開日期: | 2008 | 卷: | 16 | 期: | 4 | 起(迄)頁: | 296-300 | 來源出版物: | Journal of Medical Ultrasound | 摘要: | Morbidly adhered placentas include the spectrum of accreta, increta, and percreta. Abnormal placentation carries a significant risk of hemorrhage when late in gestation especially at peripartum. Many measures including extirpative surgery, selective arterial embolization, and methotrexate have been proposed either as a single method or in combination in the literature. We report a woman with placenta percreta who suffered from massive hemorrhage despite being treated with two-stage surgery plus intervening prophylactic uterine artery embolization. Classical incision at cesareans followed by selective uterine artery embolization and delayed hysterectomy still resulted in a failure to control bleeding. The patient survived after prolonged surgery and hospitalization in the intensive care unit. Treatment of placenta percreta needs to be considered on an individual basis and carries a significant risk of morbidity. ? Elsevier & CTSUM. All rights reserved. |
URI: | http://www.scopus.com/inward/record.url?eid=2-s2.0-59149086100&partnerID=MN8TOARS http://scholars.lib.ntu.edu.tw/handle/123456789/344329 |
DOI: | 10.1016/S0929-6441(09)60008-4 | SDG/關鍵字: | cefazolin; hemoglobin; ritodrine; adult; article; artificial embolism; blood transfusion; cardiotocography; case report; cesarean section; cystectomy; differential diagnosis; disease control; Doppler echography; drug response; female; fetus heart rate; fever; gestation period; hematoma; hemoglobin determination; human; hysterectomy; laparotomy; lower abdominal pain; patient counseling; placenta accreta; placenta previa; prenatal diagnosis; surgical technique; tocolysis; treatment duration; treatment response; two stage surgery; uterus contraction; vagina bleeding |
顯示於: | 醫學系 |
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