首页> 外文期刊>Cerrahi Sanatlar Dergisi >ANESTHETIC APPROACH TO THE PATIENT WITH PLACENTA PREVIA TOTALIS AND PLACENTA ACREATA; CASE REPORT. Plasenta previa totalis ve plasenta akreatal? gebeye anestezik yakla??m; Olgu sunumu.
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ANESTHETIC APPROACH TO THE PATIENT WITH PLACENTA PREVIA TOTALIS AND PLACENTA ACREATA; CASE REPORT. Plasenta previa totalis ve plasenta akreatal? gebeye anestezik yakla??m; Olgu sunumu.

机译:患有胎盘早破和胎盘早闭的患者的麻醉方法;案例报告。前置胎盘和胎盘分泌物?怀孕的麻醉方法;案例报告。

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Plasenta accreata is defined as an abnormal adherence of the placenta to the uterine wall owing to a faulty or an absent decidua basalis. Placenta accreta is further subdivided into placenta accreta vera, increta and percreta, depending on the level of invasion of the uterine wall and surrounding structures.A 32 years old pregnant women ?was admited to the hospital with transvaginal bleeding at 31weeks gestational ages (twins). The patient was assigned for spinal anesthesia as she did not accepted general anesthesia. After the completion of anesthesia, cesearian section was performed and ?twin baby girls were born alive. Surgical findings revealed total closure of internal ostium by dichorionic placenta and invasion of uterus serosa. The team was prepared for probable risk of hemorrhage and colloid infusion was administered. During the fluid resusitation Fresh frozen plasma was also given. ?The hemorrhage could only be controlled by hysterectomy with the informed consent of patients family. Her vital signs were normalized after hemostasis.Here in, we discussed the case and anesthesia in view of the literature.?ZETPlasenta akreata, desudea bazalisin bozuklu?una yada yoklu?una neden olan, plasentan?n uterus duvar?na anormal ?ekilde yap???kl??? olarak tan?mlan?r. Plasenta akreata, uterusa invazyon seviyelerine ve tabakalar? ?evrelemelerine ba?l? olarak akreata vera, inkreata ve perkreata olmak üzere ü? gruba ayr?l?r.32 ya??nda 31 haftal?k ikiz gebeli?i olan hasta kanamayla hastanemize ba?vurdu. Hasta uyumak istemedi?i i?in spinal anestezi planland?. ?Anestezi i?lemi tamamland?ktan sonra sezeryan ba?lat?ld?, iki tane canl? k?z bebek do?umu oldu. Cerrah dikoryonik plasentan?n internal os'u tamamen kapatt???n? ve uterusun serozas?na kadar invaze etti?ini bildirdi. Olas? kanamaya kar?? ekibi uyard? ve hastaya ikinci damar yolundan kolloid s?v? g?nderilmeye ba?land?. Hastan?n kanamas? histerektomi yap?ld?ktan sonra durduruldu ve vital bulgular stabil hale geldi. Operasyon sonras? hasta kanama kontrolü ve vital bulgular a??s?ndan stabil seyretti.?Bu yaz?da, olgumuz ve anestezi ?ekli literatür verileri ?????nda de?erlendirildi.
机译:血浆血浆被定义为由于基底膜的蜕膜缺失或缺失而导致的胎盘对子宫壁的异常粘附。根据子宫壁和周围结构的侵袭程度,将胎盘植入物进一步分为胎盘植入物,直肠和胎膜。一名32岁的孕妇-入院时在孕龄31周时经阴道出血(双胞胎) 。由于未接受全身麻醉,因此该患者被分配接受脊柱麻醉。麻醉结束后,进行剖宫产,双胞胎女婴还活着出生。手术结果显示,绒毛膜胎盘完全封闭了内口,并侵犯了浆膜。该小组为可能的出血风险做好了准备,并进行了胶体输注。在液体复苏过程中,还提供了新鲜的冷冻血浆。 ?只有在患者家属知情同意的情况下,才能通过子宫切除术控制出血。止血后,她的生命体征恢复正常。在此,我们根据文献讨论了病例和麻醉情况。ZETPlasentaakreata,desudea bazalisin bozuklu?una yada yoklu?una neden olan,plasentan?n子宫duvar?na正常的ekilde yap。 ??? kl ??? olarak tan?mlan?r Plasenta akreata,子宫侵害seviyelerine ve tabakalar? ?evrelemelerine ba?l? olarak akreata vera,inkreata ve perkreata olmaküzereü? gruba ayr?l?r.32 ya ?? nda 31 haftal?k ikiz gebeli?i olan hasta kanamayla hastanemize ba?vurdu。 Hasta uyumak istemedi?i我在脊椎anestezi平原吗? ?Anestezi i?lemi tamamland?ktan sonra sezeryan ba?lat?ld?,iki tane canl? k?z bebek do?umu oldu。 Cerrah dikoryonik plasentan?n internal os'u tamamen kapatt ??? n? ve uterusun serozas?na kadar入侵了etti?ini bildirdi。 las? kanamaya kar? ekibi uyard? ve hastaya ikinci damar yolundan kolloid s?v? g?nderilmeye ba?land?。 Hastan?n kanamas? Histerektomi yap?ld?ktan sonra durduruldu ve至关重要的球茎稳定哈尔·格尔迪。 Operasyon声纳? hasta kanamakontrolüve至关重要的球茎a?s?ndan stabil seyretti.?Bu yaz?da,olgumuz ve anestezi吗?

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