[硬膜外镇痛下经阴道试产时剖宫产瘢痕处子宫完全破裂]
[Total uterine rupture of a cesarean section scar during attempted vaginal delivery under epidural analgesia].
作者信息
Gjøderum O, Rasmussen O B, Grabe N
机构信息
Viborg Sygehus, Anaestesiologisk afdeling.
出版信息
Ugeskr Laeger. 1992 Aug 31;154(36):2436-7.
PMID:1413164
Abstract
A case of complete uterine rupture and abruptio placentae during an attempt of vaginal delivery under epidural analgesia in a woman with previous caesarean section is described and discussed. When using epidural analgesia for such a patient during vaginal delivery it is imperative that newly developed pain should be ascribed to the uterine scar and the diagnosis of threatening uterine rupture be made immediately.
摘要
本文描述并讨论了一例有剖宫产史的女性在硬膜外镇痛下行阴道分娩尝试过程中发生完全性子宫破裂和胎盘早剥的病例。对于此类患者在阴道分娩时使用硬膜外镇痛，必须将新出现的疼痛归因于子宫瘢痕，并立即做出子宫破裂先兆的诊断。
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