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植入胎盘是指胎盘异常地粘连于子宫壁。因为胎盘绒毛侵蚀子宫肌,所以可能有肌细胞损伤产物肌酸激酶释入母体血流。报道1例植入胎盘和1例穿性植入胎盘,2例均显示血清肌酸激酶水平升高。现举1例为例。 患者,34岁,G4P4,以前有过3次剖宫产。此次因妊娠22周出现点滴状阴道流血而住院。灰阶超声检查显示完全性前置胎盘。胎盘底和子宫壁中有许多大小不一的透声结构。孕妇血浆肌酸激酶浓度210U/L(正常参照值为25～160U/L)。妊娠30周时复发出血,其时孕妇血清肌酸激酶浓度292U/L。两
Implantation of the placenta means abnormal attachment of the placenta to the uterine wall. Because placental hairs invade the uterine muscles, muscle cell injury products may release creatine kinase into the maternal bloodstream. One case of placenta accreta and one case of placenta accreta were implanted, both of which showed elevated serum creatine kinase levels. Take one case as an example. Patient, 34 years old, G4P4, had had 3 cesarean sections before. The 22 weeks of pregnancy caused by drip vaginal bleeding and hospitalization. Grayscale ultrasonography showed complete placenta previa. There are many sizes of transparent structures in the bottom of the placenta and in the wall of the uterus. Pregnant women with plasma creatine kinase concentration 210U / L (normal reference value of 25 ~ 160U / L). Bleeding at 30 weeks of pregnancy, when pregnant women serum creatine kinase concentration 292U / L. Two