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创伤性子宫破裂:交通事故的一种罕见并发症。

Traumatic uterine rupture: A rare complication of vehicle accidents.

作者信息

Azouz Ines, Souissi Basma, Ayadi Malek, Hakim Hana, Gassara Hichem, Talbi Skander, Mahfoudh Khaireddine Ben

机构信息

Department of Radiology, Hbib Bourguiba university hospital, Faculty of medicine of Sfax, Tunsia.

Departement of Gynecology and obstetrics, Hedi Chaker university hospital, Faculty of medicine of Sfax, Tunsia.

出版信息

Radiol Case Rep. 2024 Feb 29;19(5):1994-1997. doi: 10.1016/j.radcr.2024.02.020. eCollection 2024 May.

DOI:10.1016/j.radcr.2024.02.020
PMID:38440740
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10909957/
Abstract

The rupture of the gravid uterus is a rare complication of trauma. It is reported in less than one percent of pregnant women who are victims of road accidents. The authors report the case of a 26-year-old nulliparous patient presented with a uterine rupture resulting in fetal death at 32 weeks of gestation following a nonpenetrating abdominal trauma in a road traffic accident. An extreme emergency operation and abdominal laparotomy confirmed the imaging findings and led to conservative treatment of the uterus and a splenectomy.

摘要

妊娠子宫破裂是一种罕见的创伤并发症。在道路交通事故受害者的孕妇中,其报告发生率不到1%。作者报告了一例26岁未生育患者的病例,该患者在道路交通事故中遭受非穿透性腹部创伤后,于妊娠32周时发生子宫破裂,导致胎儿死亡。一次极紧急的手术和腹部剖腹探查证实了影像学检查结果,并导致对子宫进行保守治疗和脾切除术。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cbc2/10909957/e1264c166432/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cbc2/10909957/b02eb2041cde/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cbc2/10909957/040fd00e99d8/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cbc2/10909957/e1264c166432/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cbc2/10909957/b02eb2041cde/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cbc2/10909957/040fd00e99d8/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cbc2/10909957/e1264c166432/gr3.jpg

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Int J Womens Health. 2025 Jan 28;17:185-188. doi: 10.2147/IJWH.S501521. eCollection 2025.

本文引用的文献

1
Case Report of Traumatic Uterine Rupture in a Multigravida Woman with Emergency Department Cesarean Section.多产妇急诊剖宫产术中创伤性子宫破裂病例报告
Clin Pract Cases Emerg Med. 2020 Nov;4(4):623-625. doi: 10.5811/cpcem.2020.8.48388.
2
Guidelines for the Management of a Pregnant Trauma Patient.妊娠创伤患者管理指南
J Obstet Gynaecol Can. 2015 Jun;37(6):553-74. doi: 10.1016/s1701-2163(15)30232-2.
3
Trauma during pregnancy: outcomes and clinical management.妊娠期创伤:结局与临床管理
Clin Obstet Gynecol. 2008 Jun;51(2):398-408. doi: 10.1097/GRF.0b013e31816f2aa7.
4
[Traumatic uterine rupture: a rare complication of motor vehicle accidents during pregnancy. A case report].[创伤性子宫破裂:孕期机动车事故的罕见并发症。病例报告]
J Gynecol Obstet Biol Reprod (Paris). 2007 Oct;36(6):611-4. doi: 10.1016/j.jgyn.2007.05.008. Epub 2007 Jun 14.
5
Trauma during pregnancy: an analysis of maternal and fetal outcomes in a large population.孕期创伤:对大量人群中母婴结局的分析
Am J Obstet Gynecol. 2004 Jun;190(6):1661-8. doi: 10.1016/j.ajog.2004.02.051.
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Abdominal ultrasound examination in pregnant blunt trauma patients.钝性创伤孕妇的腹部超声检查
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An unusual fetal complication of traumatic uterine rupture.外伤性子宫破裂的一种罕见胎儿并发症。
J Emerg Med. 1996 Mar-Apr;14(2):173-6. doi: 10.1016/0736-4679(95)02110-8.
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Abdominal trauma during pregnancy.妊娠期腹部创伤
Clin Perinatol. 1983 Jun;10(2):423-38.
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Impact injuries in pregnancy. I. Experimental studies.妊娠期的撞击伤。I. 实验研究。
Am J Obstet Gynecol. 1968 May 1;101(1):100-10. doi: 10.1016/0002-9378(68)90492-4.