最近审阅: 七月 2020
最近更新: 十二月  2019

小结

定义

病史和体格检查

关键诊断因素

  • 瘢痕子宫
  • 存在其他危险因素
  • 无痛性阴道出血
  • 窥器检查发现无宫颈/阴道原因导致的出血

其他诊断因素

  • 在妊娠早期曾有超声异常
  • 无子宫压痛
  • 低血压和心动过速

危险因素

  • 高龄产妇
  • 既往多次妊娠
  • 吸烟
  • 子宫瘢痕形成(最常见的原因是由于既往剖宫产)
  • 不育症治疗
  • 既往流产
  • 既往人工流产
  • 既往前置胎盘
  • 其他胎盘异常
  • 妊娠间隔期短
  • 使用违禁药物

诊断性检查

首要检查

  • 子宫超声与彩色多普勒血流分析
  • 全血细胞计数 (FBC)
  • 血型和交叉配血
更多 首要检查

需考虑的检查

  • 胎盘 MRI 检查
  • INR/PTT、纤维蛋白原和纤维蛋白原降解产物
  • Kleihauer-Betke 试验
更多 需考虑的检查

治疗流程

撰稿人

Janet R. Albers

Professor

Department Chair

Family and Community Medicine

Southern Illinois University School of Medicine

Springfield

IL

利益声明

JRA declares that she has no competing interests.

Professor

Clinical Family and Community Medicine

Associate Chairman - Western Region

Southern Illinois University School of Medicine

Springfield

IL

利益声明

THM declares that he has no competing interests.

Dr Janet R. Albers and Dr Thomas H. Miller would like to gratefully acknowledge Dr Robert Ewart and Dr Matthew Hagermeyer, previous contributors to this topic.

同行评议者展开全部内容

Assistant Professor

Head of Department of Obstetrics and Gynecology

Mosul College of Medicine

Mosul

Iraq

利益声明

YTJ declares that he has no competing interests.

Consultant in Family Medicine

Parker D Sanders and Isabella Sanders Professor of Primary Care

Rochester

MN

利益声明

JB declares that he has no competing interests.

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