妊娠三个月时产妇自发性单侧肾上腺出血导致严重贫血的成功保守治疗--病例报告

Q4 Medicine
Medicina Pub Date : 2024-09-04 DOI:10.3390/medicina60091448
Tomasz Skołozdrzy, Jan Wojciechowski, Mirosław Halczak, Sylwester Michał Ciećwież, Maciej Ziętek, Maciej Romanowski
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引用次数: 0

摘要

本病例是一名怀孕 32+3 周的 32 岁孕妇,她因右腹部疼痛加剧而到医院就诊。诊断评估显示她患有严重贫血,右侧肾上腺有自发性肾上腺出血(SAH)。病人被转到围产期妇产科诊所,打算进行早产。然而,医生做出了一个冒险的决定,等到第 37 周时再终止妊娠。这个决定是正确的,因为在没有并发症的情况下进行了剖腹产,患者生下了一个健康的孩子。自发性肾上腺出血(SAH)是一种罕见病,是指在没有外伤或抗凝治疗的情况下发生的自发性出血。由于出血和肾上腺皮质受损,SAH 可导致肾上腺功能不全。由于其症状无特异性,且可能对患者和胎儿造成致命后果,因此在诊断时应将其考虑在内。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Successful Conservative Treatment of Maternal Spontaneous Unilateral Adrenal Hemorrhage Causing Severe Anemia in the Third Trimester of Pregnancy—A Case Report
We present the case of a 32-year-old pregnant woman in the 32 + 3 weeks of pregnancy who presented to the hospital with an exacerbation of pain in the right flank. The diagnostic evaluation revealed the presence of severe anemia and a spontaneous adrenal hemorrhage (SAH) in the right adrenal gland. The patient was transferred to the Perinatology, Obstetrics and Gynecology Clinic with the intention of undergoing preterm childbirth. However, the doctors made a risky decision to wait until week 37 and to terminate the pregnancy at that point. The decision was right, as a cesarean section was performed without complications, and the patient gave birth to a healthy child. Spontaneous adrenal hemorrhage (SAH) is a rare condition, defined as spontaneous hemorrhage without trauma or anticoagulant therapy. Due to bleeding and damage to the adrenal cortex, SAH can lead to adrenal insufficiency. Because of its non-specific symptoms and potentially fatal outcomes for the patient and fetus, it should be considered during diagnostics.
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来源期刊
Medicina
Medicina Medicine-Medicine (all)
CiteScore
0.10
自引率
0.00%
发文量
66
审稿时长
24 weeks
期刊介绍: Publicada con el apoyo del Ministerio de Ciencia, Tecnología e Innovación Productiva. Medicina no tiene propósitos comerciales. El objeto de su creación ha sido propender al adelanto de la medicina argentina. Los beneficios que pudieran obtenerse serán aplicados exclusivamente a ese fin.
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