Kuppuvelumani P, Rachagan S P, Khin M S
Department of Obstetrics & Gynaecology, Faculty of Medicine, University of Malaya, Kuala Lumpur.
Med J Malaysia. 1994 Jun;49(2):185-6.
A rare case of spontaneous rupture of a branch of the uterine vein in a primigravida is discussed. The patient with an uncomplicated pregnancy presented with signs and symptoms suggestive of abruptio placenta with foetal distress. Lower segment Caesarean section was performed. The cause of acute pain was identified to be intra-abdominal bleeding secondary to the rupture of a branch of the uterine vein. The pathophysiology of the problem is discussed.
讨论了一例初产妇子宫静脉分支自发性破裂的罕见病例。该患者妊娠过程无并发症,出现提示胎盘早剥伴胎儿窘迫的症状和体征。遂行下段剖宫产术。发现急性疼痛的原因是子宫静脉分支破裂导致的腹腔内出血。文中讨论了该问题的病理生理学。