未破裂子宫的隐匿性子宫破裂。
Silent uterine rupture in an unscarred uterus.
作者信息
Chang Chuan-Yaw, Chou Szu-Yuan, Chu I-Lin, Hsu Chun-Sen, Chian Kenny Hui-Hua, Chow Pui-Ki
机构信息
Department of Obstetrics and Gynecology, Taipei Medical University--Wan Fan Hospital, Taipei, Taiwan.
出版信息
Taiwan J Obstet Gynecol. 2006 Sep;45(3):250-2. doi: 10.1016/S1028-4559(09)60235-7.
OBJECTIVE
Uterine rupture is one of the most serious obstetric complications, with an increased risk of maternal and perinatal morbidity, and even mortality.
CASE REPORT
A multiparous woman came to our labor room at 41 weeks of gestation for induction of labor due to being post-term and having a nonreactive nonstress test. She had no history of abdominal or gynecologic surgery. Emergent cesarean section was performed due to prolonged decelerations shown on the fetal monitor. A 12 cm uterine laceration was identified after opening the abdominal cavity. Fortunately, her uterus was preserved and her postoperative condition was stable.
CONCLUSION
To avoid maternal and fetal morbidity, or even mortality, obstetricians should be aware of the possible existence of uterine rupture in an unscarred uterus.
目的
子宫破裂是最严重的产科并发症之一，孕产妇和围产儿发病风险增加，甚至有死亡风险。
病例报告
一名经产妇在妊娠41周时因过期妊娠且无应激试验无反应来到我们的产房引产。她没有腹部或妇科手术史。由于胎儿监护仪显示出现延长减速，遂行急诊剖宫产。打开腹腔后发现子宫有一处12厘米的裂伤。幸运的是，她的子宫得以保留，术后情况稳定。
结论
为避免孕产妇和胎儿发病甚至死亡，产科医生应意识到未受过瘢痕子宫存在子宫破裂的可能性。
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