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既往因原发性产后大出血行B-Lynch缝合术后成功足月妊娠。

Successful term pregnancy after B-Lynch compression suture in a previous pregnancy on account of massive primary postpartum hemorrhage.

作者信息

Habek Dubravko, Vranjes Maja, Bobić Vuković Mirna, Valetić Josip, Krcmar Vladimir, Simunac Jasna

机构信息

Department of Obstetrics and Gynecology, General Hospital Sveti Duh, Zagreb, Croatia.

出版信息

Fetal Diagn Ther. 2006;21(5):475-6. doi: 10.1159/000093892.

Abstract

A case is presented of a successful term pregnancy in a 28-year-old secundipara after previous Misgav-Ladach cesarean section and B-Lynch compression suture on account of massive postpartal hemorrhage caused by uterine atony. On account of dystocia and relative cephalopelvic disproportion, secondary repeated cesarean section was performed; she gave birth to a live child 3,900 g/52 cm, Apgar score 9/10, with a regular neonatal course. During the repeated cesarean section, thin laces of connective tissue were found along the sutures placed on the uterus during the previous B-Lynch operation. Pelvic and intrauterine adhesions were not found.

摘要

本文报告一例28岁经产妇的足月妊娠成功案例。该产妇此前因子宫收缩乏力导致产后大出血,接受了米斯加夫-拉达赫剖宫产术及B-林奇压迫缝合术。由于难产及相对头盆不称,进行了二次重复剖宫产;她产下一名体重3900克、身长52厘米的活婴,阿氏评分9/10,新生儿病程正常。在重复剖宫产术中,在前次B-林奇手术时子宫上放置缝线处发现了薄的结缔组织带。未发现盆腔及子宫内粘连。

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