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初产妇分娩时子宫破裂

Uterine rupture during labour in a primigravida.

作者信息

Chin M M, Harvey J A, Duffy B L

机构信息

Queen Elizabeth Hospital, Woodville, South Australia.

出版信息

Aust N Z J Obstet Gynaecol. 1996 May;36(2):210-2. doi: 10.1111/j.1479-828x.1996.tb03289.x.

DOI:10.1111/j.1479-828x.1996.tb03289.x
PMID:8798318
Abstract

Uterine rupture is extremely rare in the absence of any of the commonly recognized risk factors. We describe here a case of incomplete uterine rupture in a woman in her first pregnancy who had no previous instrumentation to the genital tract. Her only significant history was that of 2 episodes of minor antepartum haemorrhage occurring prior to induction of labour with artificial rupture of membranes and intravenous oxytocin. The rupture was manifested by 450 mL blood in the peritoneal cavity when an emergency Caesarean section was performed for persistent fetal bradycardia.

摘要

在没有任何公认的危险因素的情况下,子宫破裂极为罕见。我们在此描述一例初孕妇发生不完全性子宫破裂的病例,该孕妇既往无生殖道手术史。她唯一重要的病史是在引产(人工破膜及静脉滴注缩宫素)前发生过2次少量产前出血。因持续性胎儿心动过缓行急诊剖宫产时,发现腹腔内有450毫升血液,提示子宫破裂。

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