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妊娠15 + 2周引产时子宫破裂:一例病例报告。

Uterine rupture during induction of labor at 15 + 2 weeks' gestation: A case report.

作者信息

Wang Shaou, Zhu Xiaoyan, Sun Jianhao, Lu Jiajia

机构信息

Department of Ultrasound, The First People's Hospital of Xiaoshan District, Xiaoshan Affiliated Hospital of Wenzhou Medical University, Hangzhou, China.

出版信息

Medicine (Baltimore). 2025 Apr 18;104(16):e42144. doi: 10.1097/MD.0000000000042144.

Abstract

RATIONALE

Uterine rupture is a rare obstetric complication that can quickly and directly threaten the lives of mothers and babies.

PATIENT CONCERNS

We report a case of a patient with 15w + 2d gestation scarred pregnancy requesting induction of labor, due to insufficient preoperative evaluation and increased dose of intraoperative induction medication, uterine rupture occurred due to tonicity of uterine contractions.

DIAGNOSES

Uterine rupture due to mid-pregnancy induction of labor in a patient with scarred pregnancy.

INTERVENTIONS

The patient underwent surgical treatment, removal of the embryo and uterine suturing.

OUTCOMES

The patient recovered well and was discharged. Follow up visit to our hospital for review, uterus recovered well.

LESSONS

We should improve the preoperative evaluation of patients with scarred pregnancy, comprehensively consider the choice of induction method, the control of medication dosage, strengthen the intraoperative monitoring of high-risk patients, and deal with problems in a timely manner in an effort to minimize the risk of uterine rupture and harm.

摘要

理由

子宫破裂是一种罕见的产科并发症,可迅速直接威胁母婴生命。

患者情况

我们报告一例妊娠15周+2天的瘢痕妊娠患者,因术前评估不足及术中引产药物剂量增加,子宫因宫缩张力而发生破裂,该患者要求引产。

诊断

瘢痕妊娠中期引产导致子宫破裂。

干预措施

患者接受了手术治疗,取出胚胎并缝合子宫。

结果

患者恢复良好并出院。来我院复诊,子宫恢复良好。

经验教训

我们应改进瘢痕妊娠患者的术前评估,综合考虑引产方式的选择、药物剂量的控制,加强对高危患者的术中监测,并及时处理问题,努力将子宫破裂的风险和危害降至最低。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6234/12014027/e463929d04f3/medi-104-e42144-g001.jpg

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