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产后子宫内翻是罕见的急性产后早期并发症。临床分为:Ⅰ度:宫底内翻未达宫颈处,Ⅱ度:宫底内翻到阴道内,Ⅲ度:宫底内翻到阴道口外。作者回顾性分析1988年以前10年间所遇到的11例产后子宫内翻,Ⅱ度2例,Ⅲ度9例。与同期分娩总数70,481例之比为1/6,407。2例发生在前5年,9例在后5年,近年来似有增多的趋势。此组患者年龄19~31岁,孕龄34,5~41周。8例(73%)为初产妇,5例(45%)有早孕流产史。新生儿出生体重2,580~3,640g。分娩各期无异常。1例曾用催产素引产,3例用催产素催生。1例因妊高征产程中静滴硫酸镁。11例均经阴道自然分娩。胎盘宫底部种植6例,前壁1例,后壁1例,无记载者3
Postpartum uterine varicosis is a rare early postpartum complication. Clinical is divided into: Ⅰ degree: cervical fundus less than cervical Department, Ⅱ degree: inverted intravaginal vaginal, Ⅲ degree: inverted intravaginal vaginal mouth. The authors retrospectively analyzed 11 cases of postpartum uterine inversion encountered in the past 10 years before 1988, including 2 cases of degree Ⅱ and 9 cases of degree Ⅲ. With a total of 70,481 cases of childbirth in the same period of 1 / 6,407.2 cases occurred in the first 5 years, 9 cases in the next 5 years, seems to be increasing in recent years. This group of patients aged 19 to 31 years, gestational age 34,5 to 41 weeks. Eight cases (73%) were primipara and five cases (45%) had a history of abortion in early pregnancy. Newborn birth weight 2,580 ~ 3,640 g. No abnormalities during childbirth. One patient had oxytocin and three had oxytocin. 1 case due to pregnancy-induced hypertension process intravenous magnesium sulfate. 11 cases were vaginal natural childbirth. Placenta at the bottom of 6 cases of planting, anterior wall in 1 case, 1 case of the posterior wall, no record 3