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早期产后子宫切口瘢痕破裂:1 例报告。

Scar Rupture in Early Puerperium: A Case Report.

机构信息

Department of Obstetrics and Gynecology, Kathmandu Medical College and Teaching Hospital, Sinamangal, Kathmandu, Nepal.

出版信息

JNMA J Nepal Med Assoc. 2022 May 5;60(249):491-493. doi: 10.31729/jnma.7346.

DOI:10.31729/jnma.7346
PMID:35633242
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9252228/
Abstract

UNLABELLED

Uterine scar dehiscence or rupture is a rare but potentially life-threatening complication of caesarean delivery. It is the opening of the uterine incision line that can lead to postpartum haemorrhage, pelvic hematoma, pelvic abscess, endomyometritis, generalised or localised peritonitis and sepsis. Here we report a case of a 25 years old female who presented with puerperal pyrexia. Investigations revealed uterine scar rupture with a uterovesical collection. The case was managed conservatively with intravenous antibiotics, an intracervical Foley's catheter and a gonadotropin-releasing hormone agonist.

KEYWORDS

caesarean section; case reports; postpartum; rupture; scar.

摘要

未注明

剖宫产术后子宫瘢痕破裂或破裂是一种罕见但可能危及生命的并发症。它是子宫切口线的打开,可导致产后出血、盆腔血肿、盆腔脓肿、子宫肌炎、弥漫性或局限性腹膜炎和败血症。在这里,我们报告了一例 25 岁女性,表现为产褥期发热。检查显示子宫瘢痕破裂伴有子宫膀胱积血。该病例采用静脉抗生素、宫颈 Foley 导管和促性腺激素释放激素激动剂保守治疗。

关键词

剖宫产术;病例报告;产后;破裂;瘢痕。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4921/9252228/2515a68cdd7f/JNMA-60-249-491-g2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4921/9252228/8a3373d5d453/JNMA-60-249-491-g1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4921/9252228/2515a68cdd7f/JNMA-60-249-491-g2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4921/9252228/8a3373d5d453/JNMA-60-249-491-g1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4921/9252228/2515a68cdd7f/JNMA-60-249-491-g2.jpg

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本文引用的文献

1
Conservative Management of Infected Postpartum Uterine Dehiscence after Cesarean Section.剖宫产术后感染性产后子宫裂开的保守治疗
J Med Ultrasound. 2018 Jan-Mar;26(1):59-61. doi: 10.4103/JMU.JMU_5_18. Epub 2018 Mar 28.
2
The tip of the iceberg: Post caesarean wound dehiscence presenting as abdominal wound sepsis.冰山一角:剖宫产术后伤口裂开表现为腹部伤口脓毒症。
Int J Surg Case Rep. 2015;9:69-71. doi: 10.1016/j.ijscr.2015.02.013. Epub 2015 Feb 11.
3
Postpartum Uterine Wound Dehiscence Leading to Secondary PPH: Unusual Sequelae.
产后子宫伤口裂开导致继发性产后出血:罕见的后遗症。
Case Rep Obstet Gynecol. 2012;2012:154685. doi: 10.1155/2012/154685. Epub 2012 Jun 7.
4
Postpartum uterine wound dehiscence: a case report.产后子宫伤口裂开:一例病例报告
J Obstet Gynaecol Can. 2006 Aug;28(8):713-715. doi: 10.1016/S1701-2163(16)32236-8.