Lago J D
Department of Emergency Medicine, Stanford Medical Center, CA.
Am J Emerg Med. 1991 May;9(3):239-42. doi: 10.1016/0735-6757(91)90086-y.
A case of acute puerperal uterine inversion is described in a patient who presented to the emergency department after a home birth and a prolonged third stage of labor. The cardinal findings were shock and excessive blood loss. The uterus and attached placenta were protruding from the vagina and the normal cervical landmarks were absent. Emergency management consisted in vigorous fluid resuscitation prior to transfer to the operating room for definitive reversion.
本文描述了一例急性产后子宫内翻病例，该患者在家中分娩且第三产程延长后就诊于急诊科。主要表现为休克和大量失血。子宫及附着的胎盘自阴道脱出，宫颈正常标志消失。紧急处理包括在转至手术室进行确定性复位之前积极进行液体复苏。
