妊娠子宫破裂13例临床分析

发布时间：2018-04-27 07:14

本文选题：子宫破裂 + 临床特点　；参考：《上海大学学报(自然科学版)》2017年03期

【摘要】：探讨妊娠时子宫破裂发生的原因,总结临床治疗经验,从而更好地诊断处理这一产科急症.从病史、临床特点、治疗手段及母婴预后等多方面比较分析了2009年1月至2016年12月中国福利会国际和平妇幼保健院子宫破裂病例13例,其中完全性子宫破裂占69.23%,不完全性子宫破裂占30.77%.13例子宫破裂患者中,3例经阴道分娩,1例为阴道分娩中转剖宫产分娩,1例剖宫取胎,8例为剖宫产分娩.在病因方面,疤痕子宫占69.23%,原发性子宫破裂占30.77%.在临床处理方面,除2例行全子宫切除外,其余11例均行子宫破裂修补术.子宫破裂是严重的产科并发症,产妇及新生儿并发症发生率较高.疤痕子宫是最主要的病因,子宫破裂通常以剧烈腹痛及胎心异常为临床表现,在临床上应严密观察,结合病史及早对子宫破裂作出诊断.
[Abstract]:To explore the causes of uterine rupture during pregnancy and summarize the experience of clinical treatment so as to better diagnose and deal with this obstetric emergency. A comparative analysis of 13 cases of uterine rupture in the International Peace Maternal and Child Health Hospital from January 2009 to December 2016 was carried out from the aspects of history, clinical characteristics, treatment methods and prognosis of mother and child. Complete uterine rupture accounted for 69.23%, incomplete uterine rupture accounted for 30.77.13 cases of uterine rupture, 3 cases of vaginal delivery, 1 case of vaginal delivery and 1 case of cesarean section. 8 cases were cesarean section. In etiology, the scar uterus was 69.23 and the primary uterine rupture was 30.77. In clinical management, 11 cases were treated with uterine rupture repair except 2 cases of total hysterectomy. Uterine rupture is a severe obstetric complication, and the incidence of maternal and neonatal complications is high. Scar uterus is the main cause of uterine rupture. Severe abdominal pain and abnormal fetal heart are usually the clinical manifestations of uterine rupture. It should be closely observed and diagnosed as early as possible in combination with the history of uterine rupture.
【作者单位】：中国福利会国际和平妇幼保健院妇产科;
【基金】：国家自然科学基金青年基金资助项目(81300513) 上海交通大学“医工交叉研究基金”资助项目(YG2014MS37)
【分类号】：R714.2

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