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半年内两次疤痕妊娠引发大出血

2017-08-11 06:59:59   中国青年网

本报讯(记者田巧萍)昨天,20岁的何苗(化名)从湖北省中西医结合医院妇产科出院回家。6天前,她因疤痕妊娠大出血,失去了体内1/4的血液,被送到这里抢救。

8月5日凌晨2时刚过,产科值班医生李利玲第一眼看到的,就是一张惨白的脸。

8月4日下午,何苗在黄陂一家小医院吃下两粒人流药物后,出现了大出血。到了晚上,血越出越多,这才匆忙转到湖北省中西医结合医院。

“药物流产引发的大出血。”李利玲迅速用球囊给何苗止血,同时上了止血的药物。8月5日9时,相关检查发现,怀孕53天的何苗,胚胎正好在她剖宫产的疤痕上着床,这就是大出血的原因。而此时,何苗已失血1000多毫升,相当于她身体里1/4的血量。

何苗当即被送进手术室,妇科和放射科联手,用一块凝胶海绵将她的子宫动脉堵上以止血,同时上了杀胚化疗药物。

8月8日,何苗被再次推进手术室,妇产科主任汪向红和李利玲医生,用宫腔镜将附着在疤痕处已被杀死胚胎取了出来。

去年3月,何苗剖宫产,子宫因此留下疤痕。“疤痕那里很薄,弹性很差,子宫疤痕妊娠的第一个风险就是大出血。”汪主任告诉武汉晚报记者。

令医生很无奈的是,今年4月剖宫产刚过一年的何苗就发生过一次疤痕妊娠,只是出血没有这次这么严重。

“越是年轻越是不懂得、不重视避孕。”李利玲医生说,在门诊经常看到年轻女孩,以为自己年轻身体好,把药流或人流当作避孕手段,这样做很伤身体,还有可能导致妇科慢性病和不孕。

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