دورية أكاديمية

ŽIVOTNO UGROŽAVAJUĆA VAZA PREVIJA: TRI RAZLIČITA SLUČAJA I ISHODA ; Life Threatening Vasa Praevia: Three Different Cases and Outcomes

التفاصيل البيبلوغرافية
العنوان: ŽIVOTNO UGROŽAVAJUĆA VAZA PREVIJA: TRI RAZLIČITA SLUČAJA I ISHODA ; Life Threatening Vasa Praevia: Three Different Cases and Outcomes
المؤلفون: Blagaić, Vladimir, Department of Gynecology and Obstetrics, Clinical Hospital »Sveti Duh«, Sveti Duh 64, 10 000 Zagreb, Croatia, vladimir.blagaic@gmail.com, Erceg Ivkošić, Ivana, Veček, Nenad, Department of Gynecology and Obstetrics, University Hospital Zagreb, Kopljar, Mario, Department of Surgery, Clinical Hospital Dubrava, Zagreb, Croatia, Žalac, Damir, Mišković, Berivoj
المصدر: Gynaecologia et Perinatologia; Vol.19 No.1
بيانات النشر: Croatian Society of Gynaecology and Obstetrics, and Croatian Society of Perinatal Medicine of Croatian Medical Association
سنة النشر: 2010
المجموعة: Hrčak - Portal of scientific journals of Croatia / Portal znanstvenih časopisa Republike Hrvatske
مصطلحات موضوعية: vaza previa, velamentozna insercija pupkovine, ishod trudnoće, prenatalna dijagnostika, ultrazvučni pregled u boji, vasa praevia, velamentous cord insertion, pregnancy outcome, prenatal diagnosis, color doppler sonography
الوصف: Cilj rada. Dodatno rasvijetliti vaza previja koja su rijetka komplikacija trudnoće povezana s visokom stopom fetalne ili neonatalne smrtnosti. Rano otkrivanje ovog stanja je od presudne važnosti za planiranje terapijskih postupaka kako bi se spriječili fetalni i neonatalni rizici. Metode i rezultati. Predstavljamo tri različita slučaja vaza previja: jedan koji je prepoznat za vrijeme poroda, neposredno nakon amniotomije, uzrokujući po život opasno krvarenje i hitan carski rez, s dobrim ishodom; drugi slučaj kod kojeg su vaza previja dijagnosticirana prenatalno amnioskopijom i dijagnoza potvrđena ultrazvučnim pregledom u boji, omogućivši elektivni carski rez bez posljedica; i treći slučaj neprepoznatih vaza previja pri kojim je napravljen hitni carski rez, ali s vrlo skorom smrću novorođenčeta. Zaključak. Vaza previa ostaju uzrok fetalne i neonatalne smrti kojeg je teško predvidjeti iako ga je relativno lako dijagnosticirati u prenatalnom razdoblju bilo ultrazvučnim pregledom u boji, amnioskopijom ili magnetskom rezonancijom. ; Objective. To enlighten vasa praevia as a rare complication of pregnancy associated with a high rate of fetal and neonatal mortality. Early detection of this condition is crucial for planning the therapeutic approach to prevent fetal and neonatal risks. Methods and results. We report three different cases of vasa praevia: the one that was recognized during labor immediately after amniotomy, causing life threatening hemorrhage and emergency cesarean section with good neonatal outcome; second case where vasa praevia were diagnosed in prenatal period during amnioscopy confirmed by color doppler sonography, enabling elective cesarean section with no consequences; the third case were unrecognized vasa praevia followed by emergency cesarean section and neonatal death. Conclusion. Vasa praevia remains an unpredictable cause of fetal or neonatal death even though it can be relatively easily diagnosed in prenatal period either by color doppler sonography, amnioscopy or magnetic resonance.
نوع الوثيقة: text
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اللغة: English
العلاقة: http://hrcak.srce.hr/68416Test; http://hrcak.srce.hr/file/102114Test
الإتاحة: http://hrcak.srce.hr/68416Test
http://hrcak.srce.hr/file/102114Test
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رقم الانضمام: edsbas.AF8DBDAB
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