Uzoigwe S A, Fiebai P O, MacPepple D A
Department of Obstetrics and Gynaecology, University of Port Harcourt Teaching Hospital, P.M.B. 6173, Port Harcourt, Nigeria.
Niger J Med. 2004 Jul-Sep;13(3):290-2.
Spontaneous mid trimester rupture of the uterus is uncommon.
To report a case of spontaneous mid trimester uterine rupture in a patient with a previous caesarean section scar.
A review of the case record of a patient managed for spontaneous mid-trimester uterine rupture and the relevant literature.
A 30-year old unbooked gravida 6, para 1(+4) house wife with a previous caesarean section scar presented with features of an acute surgical abdomen with hypovolaemic shock at 24 weeks gestation. She had an emergency laparotomy at which she was noted to have a uterine rupture. She had a repair of the uterus and bilateral tubal ligation. Her post operative state was uneventful.
There should be a high index of suspicion of uterine rupture in a gravid woman with a previous uterine scar presenting with abdominal pain and shock.
妊娠中期子宫自发性破裂并不常见。
报告一例有剖宫产瘢痕的患者发生妊娠中期子宫自发性破裂的病例。
回顾一名因妊娠中期子宫自发性破裂接受治疗的患者的病例记录及相关文献。
一名30岁未登记的孕妇，孕6产1（+4），家庭主妇，有剖宫产瘢痕，在妊娠24周时出现急性外科急腹症伴低血容量休克的症状。她接受了急诊剖腹手术，术中发现子宫破裂。她接受了子宫修复和双侧输卵管结扎术。术后情况平稳。
对于有子宫瘢痕且出现腹痛和休克的妊娠女性，应高度怀疑子宫破裂。
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