Christensen B, Hoyme U B
Zentrum für Frauenheilkunde, Universitätsklinikum Essen.
Geburtshilfe Frauenheilkd. 1993 Oct;53(10):723-5. doi: 10.1055/s-2007-1023617.
In a 30-year old para I, following uncomplicated Caesarean section in late pregnancy, recurrent haemorrhage occurred, which finally peaked as an arterial mass bleeding. The diagnosis of an arrosion of a large branch of the uterine artery was made by clinical and sonographic means. Therapy consisted in operative revision of the uterotomy and the uterus is saved. The possible causes of bleeding in the late puerperium are discussed.
一名30岁经产妇,晚期妊娠行剖宫产手术顺利,但随后出现反复出血,最终发展为动脉性大量出血。通过临床及超声检查诊断为子宫动脉一大分支糜烂。治疗方法为手术修复子宫切口,子宫得以保留。文中讨论了产褥期晚期出血的可能原因。