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子宫破裂是妊娠及分娩期产妇死亡的主要原因之一。我院12年中死亡6例,占同期产妇死亡原因之首位。本文对6例死亡病例作一简要分析,并提出几点处理意见。临床资料我院自1970年元月至1981年末分娩总数为9884例,同期子宫破裂87例,发生率为113.61:1其中死亡6例,死亡率为6.81％。本组病例有以下主要特点:(1) 6例均为经产妇。(2)破膜时间较长。(3)均为完全性子宫破裂。(4)中毒性休克是主要死亡原因。(5)细菌培养多为大肠杆菌。(6)子宫修补术组较子宫切除术组死亡率高。讨论 1、子宫破裂的死因,过去主要是出血引起严重的休克所致。近年来由于输血技术及处
Uterine rupture is one of the main causes of maternal death during pregnancy and childbirth. 6 cases died in our hospital in 12 years, accounting for the first place of the cause of maternal death in the same period. In this paper, a brief analysis of 6 deaths and put forward some suggestions. Clinical data Our hospital from January 1970 to the end of 1981 a total of 9884 cases of childbirth, the same period 87 cases of uterine rupture, the incidence was 113.61: 1 of which 6 died, the mortality rate was 6.81%. The group of patients have the following main features: (1) 6 cases are by maternal. (2) rupture of membranes longer. (3) are complete uterine rupture. (4) Toxic shock is the main cause of death. (5) bacteria culture mostly E. coli. (6) The rate of death in uterine repair group was higher than that in hysterectomy group. Discussion 1, the cause of rupture of the uterus, the past mainly caused by bleeding caused by severe shock. In recent years due to blood transfusion technology and office