我所遇1例子宫颈管胎盘植入,现报告于下。康××,44岁,住院号656。因妊娠4个多月,要求终止妊娠。1982年8月27日用利瓦诺尔100mg注入羊膜腔。8月29日5点50分阴道突然无痛性出血,约400ml,遂用止血剂止血。中午12点输全血500ml,并行阴道检查(宫口开一指),因出血多而行钳刮术,钳夹出胎儿和胎盘。术中见宫腔内容物已清除,但颈管内有胎盘附着,刮匙难以清除,动之即出血。直至晚7点40分出血约5000ml,经注射宫缩药、止血药及阴道填塞乙醚纱块仍无效,血压下降至70/40mmHg。宫体柔软如面团,无收缩,呈弛缓状。考虑:(1)胎盘植入 I encountered one case of cervical canal placenta accreta, now reported in the next. Kang × ×, 44 years old, hospital number 656. Due to more than 4 months of pregnancy, termination of pregnancy is required. August 27, 1982 Livanol 100mg into the amniotic cavity. At 5:50 on August 29 a sudden painless vaginal bleeding, about 400ml, then hemostatic agent to stop bleeding. At 12 o’clock no blood transfusion 500ml, parallel vaginal examination (cervix open one refers to), due to bleeding and more line clamp curettage, clamping out of the fetus and placenta. Intrauterine surgery see the contents have been cleared, but the placenta attached to the neck, difficult to remove the curette, the move that is bleeding. Until 7:40 after bleeding about 5000ml, after the injection of tocolysis, hemostatic drugs and vaginal tamponade ether block is still invalid, blood pressure dropped to 70 / 40mmHg. Palace body soft as dough, no contraction, was relieved. Consider: (1) placenta accreta