中国医科大学妇产科学英文课件 Case.pptVIP

Case A 32 years old woman,now pregnancy for 33 weeks.Last night during sleeping she suffered from severe painless vaginal bleeding without any cause ,and the blee- ding stopped spontaneously 15 minutes later.Now the patient’s Bp is 90/60mmHg, P is 98 bpm. Questions What is the possible disease the patient suffered from? Key words placenta previa 前置胎盘 fetal presentation 胎先露 Trophoblastic 滋养叶的 succenturiate placenta 副胎盘 Engagement 衔接 placental murmur 胎盘血管鸣 Postpartum 产后 Anticipating therapy 期待疗法 cesarean section 剖宫产 vaginal delivery 阴式分娩 Placenta abruption 胎盘早剥 Placenta previa 前置胎盘 Contents of the lecture Definition Etiology ★ Classification ★ Clinical manifestation Diagnosis ★ Management Definition If the placenta is attached to the low segment of uterus,its low edge reaches or covers the internal OS of cervix and is below the fetal presentation,it is called placenta previa. Etiology Ⅰ. Trophoblastic development retardation Ⅱ. Over large placenta Ⅲ. Endometrial lesion and damage Ⅳ. Abnormal placenta:such as succenturiate placenta Classification complete placenta previa partial placenta previa marginal placenta previa Clinical manifestation Symptoms signs Symptoms vaginal bleeding: Painless recurrent without any cause signs General condition :Anemia shock Abdominal examination : uterine size engagement of fetal presentation placental murmur uterine size engagement of fetal presentation Diagnosis Symptoms Body signs Vaginal examination