BMJ Best Practice
最后审核时间: 十月 2018
最近更新时间: 六月 2018

小结

定义

病史和查体

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
  • 既往流产

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
全部具体信息

需要考虑的检查

  • 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
全部具体信息

治疗流程

贡献者

Janet R. Albers MD

Professor

Department Chair

Family and Community Medicine

Southern Illinois University School of Medicine

Springfield

IL

利益冲突披露
JRA has acted as an expert witness for the US Dept of Justice. JRA has received an honorarium for the development of learning material for Social Determinants of Health and Care Coordination for Relias Learning.

Professor

Clinical Family and Community Medicine

Residency Program Director

SIU Quincy Family Medicine

Southern Illinois University

Springfield

IL

利益冲突披露
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 monograph. RE and MH declare that they have no competing interests.

同行评议专家 查看所有

Assistant Professor

Head of Department of Obstetrics and Gynecology

Mosul College of Medicine

Mosul

Iraq

利益冲突披露
YTJ declares that he has no competing interests.

Consultant in Family Medicine

Parker D Sanders and Isabella Sanders Professor of Primary Care

Rochester

MN

利益冲突披露
JB declares that he has no competing interests.

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