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子宫破裂后胎儿窒息。

Fetal strangulation following uterine rupture.

作者信息

Svendsen E, Morild I

机构信息

Department of Pathology, Gade Institute, University of Bergen, Norway.

出版信息

Am J Forensic Med Pathol. 1988 Mar;9(1):54-7. doi: 10.1097/00000433-198803000-00015.

DOI:10.1097/00000433-198803000-00015
PMID:3354526
Abstract

A woman who was 30 weeks pregnant was sitting with a three-point seat belt fastened in the front passenger seat of an automobile that was involved in a head-on collision. On admission to hospital, the fetus was found in a breech position with the fetal head situated just beneath the mother's liver. Laparotomy had to be performed 4 h later and the fetus was found to have been completely expelled from the uterine cavity through a rupture in the fundus uteri. The findings in the fetus suggest that the head was expelled first, and that the fetus was then strangled by uterine contractions. The significance of using seat belts during pregnancy is discussed briefly.

摘要

一名怀孕30周的女性坐在一辆汽车的前排乘客座位上,系着三点式安全带,该车发生了正面碰撞。入院时,发现胎儿呈臀位,胎头位于母亲肝脏下方。4小时后不得不进行剖腹手术,发现胎儿已通过子宫底部的破裂口完全从子宫腔排出。胎儿的情况表明,先是头部被排出,然后胎儿被子宫收缩勒住。简要讨论了孕期使用安全带的重要性。

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