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本文报道1例中期妊娠不全子宫破裂,经修复后,足月分娩,母子均健。 患者 30岁,1983年6月急诊入院。主诉孕21周伴阵发性腹疼。患者已婚7年,P_1G_4。于1978年及1980年先后因前置胎盘和自发性子宫破裂行两次死胎剖宫产(体部纵切),其后一年又因早孕阴道出血吸宫。此次为第4孕,距前次吸宫1年半,孕早期经过平顺,3日前突发下腹痛,否认有性交或外伤史,入院后查体:一般情况佳,精神高度紧张。腹部无腹膜刺激症状。子宫增大与闭经月分符合,轮廓清晰无阵发性宫缩,相当于子宫原手术切口处稍有凹陷,
This article reports a case of incomplete uterine rupture of middle-term pregnancy, after repair, full-term delivery, mother and child are healthy. The patient was 30 years old and was admitted to the emergency department in June 1983. 21 weeks pregnant with paroxysmal abdominal pain. Patient married for 7 years, P_1G_4. Cesarean section (body longitudinal incision) was performed twice in 1978 and 1980 due to placenta previa and spontaneous rupture of the uterus, followed by vaginal bleeding during early pregnancy. This is the 4th pregnancy, 1 year and a half from the previous ejaculation, the first trimester of pregnancy after the smooth, sudden abdominal pain on the 3rd, denied a history of sexual intercourse or trauma, admission examination: the general situation is good, the spirit of high tension. Abdominal peritoneal irritation. Uterine enlargement and amenorrhea months in line with the outline of a clear paroxysmal uterine contractions, equivalent to the original uterine incision at a slight depression,