初产妇子宫破裂，一种罕见但严重的产科事件：病例报告
Uterine rupture in a primigravid patient, an uncommon but severe obstetrical event: a case report.
作者信息
Posthumus Lotte, Donker Marielle Eveline
机构信息
Spaarne Gasthuis, Spaarnepoort 1, 2134 TM, Hoofddorp, The Netherlands.
Academisch Medisch Centrum, Meibergdreef 9, 1105 AZ, Amsterdam, The Netherlands.
出版信息
J Med Case Rep. 2017 Dec 6;11(1):339. doi: 10.1186/s13256-017-1507-9.
BACKGROUND
A spontaneous rupture of the unscarred uterus in a primigravid patient is extremely rare and is associated with high perinatal and maternal morbidity and mortality.
CASE PRESENTATION
A 34-year-old white primigravid woman, 31 + 3 weeks of gestation, presented with pre-eclampsia and developed a sudden acute abdomen. An emergency laparotomy was performed and a uterine rupture was found as the cause of the event. A stillborn girl was born.
CONCLUSION
A rupture of the pregnant uterus should always be considered in a pregnant woman presenting with abdominal pain, even in a primigravid patient.
背景
初产妇未瘢痕化子宫自发性破裂极为罕见，且与围产期及孕产妇的高发病率和死亡率相关。
病例报告
一名34岁的白人初产妇，孕31 + 3周，出现子痫前期并突发急腹症。行急诊剖腹探查术，发现子宫破裂是此次事件的原因。娩出一名死产女婴。
结论
即使是初产妇，出现腹痛的孕妇也应始终考虑妊娠子宫破裂的可能。
Zotero 插件