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妊足月子宫破裂是产科严重的并发症。随着围产医学的发展,子宫破裂已逐渐减少。本组总结4例,报道如下。病历摘要例1:40岁,农民,孕5产1。妊娠40周,临产6小时胎头拨露后回缩,腹疼加剧于1985年5月9日由本村接生员急转我院。体检:体温36.4℃,血压150/110mmHg,心肺无异常所见。全腹压疼拒按,子宫轮廓不清,胎心消失。诊断:子宫破裂。立即施剖腹探查术,胎儿胎盘全部在腹腔,子宫下段横断性完全破裂。行子宫全切除术。手术顺利,伤口Ⅰ期愈合。例2:34岁,农民,孕4产1。妊娠40周于1986年1
Full-term pregnancy rupture of the uterus is a serious complication of obstetrics. With the development of perinatal medicine, uterine rupture has been gradually reduced. The group concluded in 4 cases, reported as follows. Case history summary 1: 40 years old, farmer, pregnant 5 produce 1. 40 weeks of pregnancy, labor 6 hours fetal head revealed after the retraction, abdominal pain intensified in May 9, 1985 by the village emergency room emergency hospital. Physical examination: body temperature 36.4 ℃, blood pressure 150 / 110mmHg, no abnormal heart and lung see. Abdominal pressure pain refused to press, uterine outline is unclear, fetal heart disappear. Diagnosis: Uterine rupture. Immediate laparotomy exploration, fetal placenta all in the abdominal cavity, lower transverse transection completely broken. Hysterectomy. The operation is smooth and the wound is healed in the first period. Example 2: 34 years old, farmer, pregnant 4 produce 1. 40 weeks of gestation in 1986 1