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早孕反應大警惕葡萄胎 葡萄胎的相關知識孕媽要了解(2)

出處：媽媽育兒網 日期：2016-11-09 16:11:49 編輯：七七

具體到小慧的情況，醫(yī)生之所以沒有在她肚子里看到胎兒，是因為其胚胎因胎盤絨毛水腫而缺少營養(yǎng)，導致胎兒早期死亡后，又被胎盤絨毛吸收了的結果。

危害：葡萄胎容易發(fā)生惡變

關于葡萄胎發(fā)生的確切病因，目前尚不十分清楚，絕大多數(shù)人認為與精卵的異常受精有關。正常的胚胎是由一個正常的卵子與一個正常的精子結合而成，而葡萄胎是精子和卵子質量有問題引起的。

葡萄胎很容易發(fā)生惡變，惡變后的結果有兩種：

侵蝕性葡萄胎(又稱惡性葡萄胎)與絨毛膜癌，后者的惡性程度更高，并且容易發(fā)生轉移，最常見的轉移器官為肺，其次為陰道，腦轉移又次之。

轉移到肺部后，主要癥狀表現(xiàn)為咳嗽、血痰、咯血及胸痛等，在X光下胸片上有小結節(jié)狀陰影，進一步發(fā)展病灶可轉移到陰道，呈棉絮狀，陰道壁上還會有隆起的結節(jié)，一旦破潰可發(fā)生大出血。轉移到腦部，若未能及時控制病情，顱內壓持續(xù)升高，可引起腦疝而死亡。

治療：確診后需要兩次刮宮

如果確診是葡萄胎，應及時做清宮手術，刮出物要進一步做病理檢查。需要注意的是，葡萄胎形成后會有數(shù)不清的水泡狀水腫，這些東西在手術過程中很難一次性清除干凈。

而一旦過長時間清理這些內容物，又會增加術中的出血量，對患者來說同樣是一種生命威脅。

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