| 孙洪霞,孟彤.糖尿病微血管病变合并羊膜下血肿 1例[J].安徽医药,2025,29(11):2265-2267. |
| 糖尿病微血管病变合并羊膜下血肿 1例 |
| A case of diabetic microangiopathy combined with subamniotic hematoma |
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| DOI：10.3969/j.issn.1009-6469.2025.11.031 |
| 中文关键词: 胎盘疾病 羊膜 血肿 糖尿病 微血管病变 超声检查，产前 |
| 英文关键词: Placenta diseases Amniotic Hematoma Diabetic Microangiopathy Ultrasonography, prenatal |
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| 中文摘要: |
| 目的探索羊膜下血肿监测治疗经验。方法总结通州区妇幼保健院产科 2023年 7月收治的 1例糖尿病微血管病变合并羊膜下血肿病人的监测及治疗方案。结果病人孕 13周诊断糖尿病合并妊娠，经饮食 +运动 +胰岛素 +二甲双胍联合控制血糖满意，孕 19周产检超声提示胎盘内异常回声，每 2~3周复查超声监测，每次均有变化，根据超声提示及病人症状体征调整监测及治疗方案，孕 37周 5天，因胎盘异常，双眼视物模糊收入院评估后剖宫产终止妊娠，母婴预后较好。术后病理诊断羊膜下血肿。结论对于妊娠合并羊膜下血肿要加强对母儿监护， B超动态监测胎盘的变化，监测胎儿生长发育情况，检测血肿内部是否有血流等进行鉴别，视病人的具体情况进行个体化处理，选择恰当时机终止妊娠。 |
| 英文摘要: |
| Objective To explore the monitoring and treatment experience of subamniotic hematoma.Methods The monitoring andtreatment plan of a patient with diabetic microangiopathy complicated with subamniotic hematoma admitted to the obstetrics depart-ment of Tongzhou Maternal and Child Health Hospital in July 2023 were summarized.Results The patient was diagnosed with diabe-tes mellitus complicated with pregnancy at 13 weeks of gestation. The blood glucose was controlled satisfactorily by diet + exercise + in-sulin + metformin. The ultrasound showed abnormal echo in the placenta at 19 weeks of gestation. The ultrasound monitoring was re-viewed every 2-3 weeks, and the monitoring and treatment plan were adjusted according to the ultrasound prompt and the patient'ssymptoms and signs. At 5 days of 37 weeks of gestation, due to placental abnormalities, binocular vision was blurred and the pregnancywas terminated by cesarean section after evaluation in the hospital. The prognosis of mother and infant was good. The postoperativepathological diagnosis was subamniotic hematoma.Conclusions For pregnancy complicated with subamniotic hematoma, it is neces-sary to strengthen the monitoring of mother and child, B-ultrasound dynamically monitors the changes of placenta, monitors the growthand development of fetus, detects whether there is blood flow inside the hematoma, etc., and makes identification and individualizedtreatment. Individualized treatment should be carried out according to the specific situation of the patient, and the pregnancy should beterminated at an appropriate time. |
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