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一名异位妊娠患者子宫穿孔后发生严重梭菌感染。

Severe clostridium infection following perforation of the uterus in a patient with an ectopic pregnancy.

作者信息

Knitza R, Wisser J, Meissner K, Terruhn V, Remberger K

出版信息

Arch Gynecol. 1987;240(3):191-4. doi: 10.1007/BF00207715.

Abstract

Twenty-eight hours after CO2 insufflation and curettage in a 26 year old, haemolysis, jaundice and anuria developed. As an ectopic pregnancy was also suspected, a diagnostic laparoscopy was done and was followed by a hysterectomy and left salpingo-oophorectomy before Clostridium perfringens was grown on culture. The survival of the patient despite clostridial infection is probably due to immediate surgical treatment and intensive post-operative care.

摘要

一名26岁女性在二氧化碳气腹和刮宫术后28小时出现溶血、黄疸和无尿。由于怀疑同时存在异位妊娠,遂进行了诊断性腹腔镜检查,随后进行了子宫切除术和左侧输卵管卵巢切除术,之后在培养物中培养出产气荚膜梭菌。尽管发生了梭菌感染,患者仍存活,这可能得益于及时的手术治疗和术后的精心护理。

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