Eight successive cases of acute puerperal inversion of the uterus are presented. The incidence was one in 26,364 deliveries. Fundal insertion of the placenta, adherent placenta and low parity were significant factors in our cases. Two patients were given halothane anesthesia to relax uterine retraction and cervical ring. Vaginal repositioning was successful in seven cases. One patient required abdominal repositioning. Apart from iron deficiency anemia, the postoperative period was uneventful.
本文报告了8例连续发生的急性产后子宫内翻病例。发病率为每26364例分娩中有1例。胎盘附着于子宫底部、胎盘粘连和低产次是我们病例中的重要因素。2例患者接受了氟烷麻醉以松弛子宫收缩和宫颈环。7例患者通过阴道复位成功。1例患者需要进行腹部复位。除缺铁性贫血外,术后恢复顺利。