摘要
子宫破裂是产科严重的并发症,随着剖宫产率的增加,瘢痕子宫已成为子宫破裂最为常见的危险因素,其中以剖宫产术后出现妊娠期子宫破裂最为多见。子宫破裂典型的临床表现为剧烈腹痛、烦躁、血尿、阴道流血等。该文报道1例临床表现不明显的妊娠中晚期胎死宫内、子宫破裂并坏死患者的诊疗过程,提示临床医师应提高对于子宫破裂的早期识别水平,及时给予特殊病史患者个体化治疗,尽量避免此类患者严重不良妊娠结局的发生。
Uterine rupture is a serious obstretric complication.With the increase of cesarean section rate,scarred uterus has become the most common risk factor of uterine rupture,especially the uterine rupture during pregnancy after cesarean section.Typical clinical manifestations of uterine rupture are severe abdominal pain,irritability,hematuria and vaginal bleeding,etc.In this article,the diagnosis and treatment process of one case of fetal death,uterine rupture and necrosis in the middle and late stage of pregnancy without obvious clinical manifestations were reported.The medical staff should improve their early recognition of the occurrence of uterine rupture,timely deliver individualized treatment for patients with special medical history,and avoid the incidence of serious adverse pregnancy outcomes in these patients.
作者
李丹
张国青
郑连文
徐影
Li Dan;Zhang Guoqing;Zheng Lianwen;Xu Ying(Reproductive Medicine Center,the Second Hospital of Jilin University,Changchun 130000,China)
出处
《新医学》
2020年第7期558-561,共4页
Journal of New Medicine
关键词
子宫破裂
子宫坏死
胎死宫内
不良妊娠结局
Uterine rupture
Uterine necrosis
Fetal death
Adverse pregnancy outcome
