怀孕第二个三个月的自发性血
Karen Carlson1, Sandy Montoya2
1Ob Gyn, University of Nebraska Medical Center, Omaha, Nebraska, USA kscarlson@unmc.edu.
BMJ case reports
|January 31, 2024
概括
怀孕时自发性血 (SHiP) 是一种罕见的,危及生命的疾病. 干预性放射学,特别是透导管栓塞,为治疗SHiP提供了一种不那么侵入性的,可以挽救生命的,与手术相比的替代方案.
科学领域:
- 产科和妇科 产科和妇科
- 血管外科 血管外科
- 干预性放射学 干预性放射学
背景情况:
- 怀孕时自发性血 (SHiP) 是一种罕见但至关重要的产科紧急情况.
- 通常与子宫内膜异位症引起的血管破裂有关,SHiP具有很高的围产期死亡率 (高达36%).
- 传统的治疗常常涉及腹腔切除术,对母亲和胎儿都有风险.
研究的目的:
- 突出干预放射学在SHiP管理中的潜力.
- 倡导提高怀孕期间SHiP的认识和及时诊断.
- 将透导管栓塞作为腹腔切除术的可行,不那么侵入性的替代方案.
主要方法:
- 一个病例报告详细介绍了SHiP在怀孕第二个三个月的成功管理.
- 使用干预性放射学,特别是通过导管栓塞,以控制腹腔内出血.
- 对SHiP的诊断成像和治疗途径的讨论.
主要成果:
- 通过透导管栓塞成功管理自发性血operitoneum,避免腹腔切除术.
- 干预性放射学作为高风险产科情景中的拯救生命的替代方案的演示.
- 通过明智地使用成像程序,改善了诊断和治疗结果.
结论:
- 透导管栓塞在怀孕期间为SHiP提供了关键的,不那么侵入性的治疗选择.
- 对SHiP的管理应涉及专门的围产中心,这些中心可以获得干预性放射学专业知识.
- 提高意识和及时干预对于改善SHiP病例的围产期结果至关重要.
更多相关视频
相关概念视频
01:27Ovarian Cycle
1.2K
The menstrual cycle includes a critical component known as the ovarian cycle, which undergoes two main phases each month—the follicular phase and the luteal phase. The follicular phase is variable and averaging around 14 days. Ovulation, triggered by a surge in luteinizing hormone (LH), marks the transition between the two phases. The second phase, the luteal phase, is relatively consistent, lasting approximately 14 days, and is marked by the activity of the corpus luteum. While a cycle...
1.2K
01:07Development of Blood Vessels
586
The development of the vascular system in a fetus is a complex and intricate process that begins as early as 15 to 16 days post-conception. This process starts outside the embryo, specifically in the mesoderm of the yolk sac, chorion, and connecting stalk. Approximately two days later, the formation of blood vessels occurs within the embryo itself.
The initial formation of this system is facilitated by the small amount of yolk present in the ovum and yolk sac. Blood vessels originate from...
The initial formation of this system is facilitated by the small amount of yolk present in the ovum and yolk sac. Blood vessels originate from...
586
01:28Esophageal Varices-II: Clinical Features and Management
67
Esophageal varices often manifest as gastrointestinal bleeding episodes, presenting symptoms like hematemesis (vomiting of blood), hematochezia (passing fresh blood via the rectum), and melena (black, tarry stools). Other signs can include weight loss, anorexia, abdominal discomfort, jaundice, pruritus, altered mental status, and muscle cramps.
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol...
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol...
67
01:24Esophageal Varices-I: Introduction
140
Esophageal varices are dilated, tortuous veins which are found mainly in the submucosa of the lower esophagus but which may also appear higher up or extend into the stomach. They develop due to increased pressure in the portal venous system, often as a result of liver cirrhosis. This condition scars and damages the liver, impeding normal blood flow through the portal vein. To compensate, blood seeks alternative pathways, forming fragile new vessels (varices) in the esophagus and stomach. These...
140