河北医科大学学报

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妊娠子宫完全破裂22例临床结局及防治措施

  

  1. 河北医科大学第二医院妇产科，河北 石家庄 050000
  • 出版日期:2019-02-25 发布日期:2019-01-16
  • 作者简介:王成书（1974-），女，四川射洪人，河北医科大学第二医院副主任医师，医学博士，从事产科疾病诊治研究。

The clinical outcomes and preventive measures of penetrating rupture of pregnancy uterus in 22 cases#br#

  1. Department of Obstetrics and Gynecology, the Second Hospital of Hebei Medical University, Shijiazhuang 050000, China
  • Online:2019-02-25 Published:2019-01-16

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摘要： ［摘要］〓
〖HTH〗目的〖HTSS〗〖KG*2〗探讨妊娠期子宫破裂的病因及预防。
〖HTH〗方法〖HTSS〗〖KG*2〗回顾性分析22例妊娠子宫完全破裂患者的临床资料。
〖HTH〗结果〖HTSS〗〖KG*2〗妊娠子宫完全破裂的发生率达0.086%(22/25 707)；22例子宫破裂的原因有流产史、子宫手术史（包括剖宫产史）及其缺陷愈合、不恰当的外力、不合理应用引产药、多产史；主要临床表现为腹痛及阴道出血，可导致胎儿窘迫、胎儿死亡及母体失血、子宫丢失。
〖HTH〗结论〖HTSS〗〖KG*2〗 重视瘢痕子宫再次妊娠者子宫破裂风险增加的同时，不能忽视人工流产史后、经产妇、高龄女性再次妊娠导致子宫破裂的风险。

关键词: 妊娠, 意外, 子宫破裂, 剖宫产术, 瘢痕

Abstract: ［Abstract］ Objective〖HTSS〗〓To investigate the causes and prevention of uterine rupture during pregnancy.
〖HTH〗〖WTHZ〗Methods〖HTSS〗〓Clinical data of 22 patients with penetrating rupture of pregnancy uterus were analyzed retrospectively.
〖HTH〗〖WTHZ〗Results〖HTSS〗〓The incidence of penetrating rupture of pregnancy uterus was 0.086%(22/25707). The causes of uterine rupture included a history of miscarriage, history of uterine surgery(including the history of cesarean section) and its defect healing, unreasonable application of drug induced labor and productive force, which often give rise to fetal distress, fetal death, blood loss, uterine loss and so on.
〖HTH〗〖WTHZ〗Conclusion〖HTSS〗〓The risk of uterine rupture should not be ignored among pregnancy women with the history of abortion, multipara, advanced age when more attention is paid to uterine rupture of pregnancy women with the history of cesarean section.

Key words: pregnancy, unplanned, uterine rupture, cesarean section, scars

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