抗磷脂综合征孕妇咳嗽致自发性腹壁血肿1例并文献复习

Spontaneous abdominal wall hematoma caused by coughing in a pregnant woman with antiphospholipid syndrome:a case report and literature review

妊娠合并自发性腹壁血肿常表现为急腹症,易导致漏诊、误诊。本文报道1例33岁抗磷脂综合征孕妇妊娠晚期因咳嗽并发自发性腹壁血肿,导致急诊剖宫产的诊疗过程,以期为合并自发性腹壁血肿的妊娠提供诊疗经验与依据。本文同时检索国内外相关文献进行复习,探讨此类孕妇合并自发性腹壁血肿的处理策略。对于有出血倾向伴有严重咳嗽的妊娠患者需要提高警惕,一旦确定出现血肿,需要根据患者情况综合考虑治疗方法,必要时终止妊娠。

Pregnancies complicated by spontaneous abdominal wall hematoma(SAWH) frequently manifest as an acute abdomen,thereby heightening the likelihood of misdiagnosis or delayed diagnosis.This article presents a case study involving a 33-year-old pregnant woman diagnosed with antiphospholipid syndrome,who experienced SAWH in the later stages of pregnancy as a consequence of coughing,ultimately necessitating emergency cesarean section for diagnosis and treatment.The objective of this study is to furnish diagnostic and therapeutic insights and recommendations for pregnancies complicated by SAWH.Literature review was searched in both domestic and international sources,to examine the management strategies for pregnant women with SAWH.It is imperative to exercise caution when managing pregnant patients exhibiting bleeding tendencies and severe cough.Once a hematoma is confirmed,treatment alternatives should be carefully evaluated in accordance with the patient's specific condition,potentially necessitating the consideration of pregnancy termination.