摘要1临床资料
某孕妇,31岁,孕3产1,现因＂妊娠38＋3周,瘢痕子宫,突发阴道出血1 h＂入院。患者2年前曾行剖宫产分娩一男孩。入院查体：体重81 kg,血压110/62 mm Hg（1 mm Hg=0.133 k Pa）,心率106次/min,血常规示：血红蛋白（Hb）：109 g/L,血小板（PLT）：
3Chapttopadhyay SK, Khariff H, Sherbeeni MM. Placenta previa and accreta after previous cesarean section. Eur J Ob- stet Gynecol Reprod Biol, 1993, 52:151 - 156.
4Cunningham F, Leveno K, Bloom S, et al. Willams Ob- stetrics. 23 rd ed. New York: McGraw- Hill Companies, 2010: 757-803.
5Oyelese Y, Smulian JC. Placenta previa, placenta accreta, and vasa previa. Gynecol Obstet, 2006, 107: 927- 941.
6Shih JC, Palacios JM, Su YN, et al. Role of three - dimen- sional power Doppler in the antenatal diagnosis of placenta accrete: comparison with gray- scale and color Doppler techniques. Ultrasound Obstet Gynaecol, 2009, 33: 193 - 203.
7Lax A, Prince MR, Mennitt KW, et al. The value of spe- cific MRI features in the evaluation of suspected placental in- vasion. Magn Reson Imaging, 2007, 25: 87-93.
8Kupferminc JM, Wigton RT. Placenta accrete is associated with raised maternal serum AFP. Obstet Gynecol, 1993, 82: 266-269.
9Arduini M, Epicoco G, Clerici G. B- Lynch suture, intra- uterine balloon, and endouterine hemostatic suture for the management of postpartum hemorrhage due to placenta pre- via accrete. Int J Gynaecol Obstet, 2010, 108: 191- 193.
10Yu PC, Ou HY, Tsang LC, et al. Prophylactic intraotera- tive, uterine artery embolization to control hemorrhage in abnormal placentation during late gestation. Fertil Steril, 2009, 91: 1951-1955.
