PDF(Pubmed)
Abstract：
Placental abruption is a serious medical condition that can occur during pregnancy, involving the premature separation of the placenta from the inner uterine wall before childbirth. This detachment often leads to severe bleeding, and if conventional methods prove ineffective in managing the bleeding, a hysterectomy may be deemed necessary to ensure the mother\'s safety. This case report details the management of a 22-year-old female, gravida IV, para III, who experienced placental abruption during her fourth pregnancy. An emergent cesarean section resulted in severe postpartum hemorrhage and disseminated intravascular coagulation (DIC). Positive drug tests for cocaine and methamphetamines added further complexity, leading to an unplanned hysterectomy for life-saving measures. This case underscores the critical importance of early recognition, multidisciplinary collaboration, and timely intervention in managing obstetric emergencies within the context of substance abuse.
摘要：
胎盘早剥是一种严重的医疗状况，可能在怀孕期间发生，涉及分娩前胎盘与子宫内壁的过早分离。这种分离通常会导致严重的出血，如果常规方法在控制出血方面无效，子宫切除术可能被认为是必要的，以确保母亲的安全。这份病例报告详述了一名22岁女性的治疗情况,GravidaIV,第三段,她在第四次怀孕期间经历了胎盘早剥。紧急剖宫产导致严重的产后出血和弥散性血管内凝血（DIC）。可卡因和甲基苯丙胺的阳性药物测试进一步增加了复杂性，导致计划外子宫切除术以挽救生命。这个案例强调了早期识别的关键重要性，多学科合作，以及在药物滥用背景下及时干预管理产科紧急情况。
