Sorokin Y, Bhatia R, Wolfson R, Abramovici H
Department of Obstetrics and Gynecology, Lady Davis Carmel Hospital, Haifa, Israel.
Isr J Med Sci. 1990 Feb;26(2):93-6.
Postpartum abdominal apoplexy is a rare obstetric complication that is associated with a very high maternal mortality rate. We report a patient with a low risk pregnancy and spontaneous vaginal delivery, who at 17 h post partum went into shock secondary to rupture of the splenic artery. She recovered following splenectomy and transfusion of 10 units of blood. This is the seventh documented case of splenic artery rupture in the postpartum period. Four of the seven patients survived. The cases are reviewed and the clinical presentation, pathogenesis and treatment are discussed.
产后腹腔中风是一种罕见的产科并发症，与极高的孕产妇死亡率相关。我们报告一例低风险妊娠并顺产的患者，其在产后17小时因脾动脉破裂而休克。她在脾切除及输注10单位血液后康复。这是产后脾动脉破裂的第七例有文献记载的病例。七例患者中有四例存活。对这些病例进行了回顾，并讨论了临床表现、发病机制及治疗方法。
