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相關文獻
- Simultaneous Uterine and Urinary Bladder Rupture in an Otherwise Successful Vaginal Birth after Cesarean Delivery
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題 名 | Simultaneous Uterine and Urinary Bladder Rupture in an Otherwise Successful Vaginal Birth after Cesarean Delivery=前胎剖腹產後順利自然生產併發同時子宮及膀胱破裂 |
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作 者 | 何思瑩; 張舜智; 梁景忠; | 書刊名 | Journal of the Chinese Medical Association |
卷 期 | 73:12 2010.12[民99.12] |
頁 次 | 頁655-659+CA118 |
分類號 | 417.365 |
關鍵詞 | 膀胱破裂; 子宮破裂; 前胎剖腹後自然產; Bladder rupture; Cesarean section; Uterine rupture; Vaginal birth; |
語 文 | 英文(English) |
英文摘要 | Uterine rupture is the primary concern when a patient chooses a trial of labor after a cesarean section. Bladder rupture accompanied by uterine rupture should be taken into consideration if gross hematuria occurs. We report the case of a patient with uterine rupture during a trial of labor after cesarean delivery. She had a normal course of labor and no classic signs of uterine rupture. However, gross hematuria was noted after repair of the episiotomy. The patient began to complain of progressive abdominal pain, gross hematuria and oliguria. Cystoscopy revealed a direct communication between the bladder and the uterus. When opening the bladder peritoneum, rupture sites over the anterior uterus and posterior wall of the bladder were noted. Following primary repair of both wounds, a Foley catheter was left in place for 12 days. The patient had achieved a full recovery by the 2-year follow-up examination. Bladder injury and uterine rupture can occur at any time during labor. Gross hematuria immediately after delivery is the most common presentation. Cystoscopy is a good tool to identify the severity of bladder injury. |
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