頁籤選單縮合
題名 | Vaginal Vault Laceration as a Result of Sexual Assault in Puerperium=產褥期間被性侵害引起的陰道穹窿裂傷 |
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作者 | 李裕祥; 李隆乾; 李厚懿; 黃思誠; | 書刊名 | 中華民國婦產科醫學會會刊雜誌 |
卷期 | 36:4 1997.12[民86.12] |
頁次 | 頁141-144 |
分類號 | 417.3 |
關鍵詞 | 陰道穹窿裂傷; 性侵害; 產褥期; Vaginal vault laceration; Sexual assault; Puerperium; |
語文 | 英文(English) |
中文摘要 | 背景:婦女在產褥期間受到性侵害的可能性已增高。臨床醫師宜提高警覺,謹慎 處理,以免嚴重的併發症產生。 個案報告:一位二十九歲的經產婦,在產後四十八天,不幸遭受性侵害。病人敘述,在 經過後方插入的動作之後,即發生下腹痛和持續性陰道出血現象。檢查發現在陰道右後穹窿 有一道二公分的裂傷正在出血。經縫合後,病人即出院。然而,四天之後,陰道再度自發性 裂傷合併持續性出血。再經深處縫合,同時給予多塊紗布壓迫陰道壁,才得以控制病情。估 計兩次出血量至少八百毫升。 結論:產褥期間因性侵害而造成的傷害往往較嚴重。臨床醫師除了詳細檢查陰道之外, 務必同時給予腹部超音波掃瞄及肛診檢查,以正確診斷。 |
英文摘要 | Background: This paper intends to highlight the increasing possibility of sexual assault in puerperium and to raise awareness in clinicians of the serious complications. Case report: A 29-year-old woman, multipara, was sexually assaulted 48 days postpartum. A vaginal laceration at the right-posterior vaginal vault with persistent bleeding began soon after rear entry. Primary suture was done for the wound. However, a spontaneous vaginal tear with active bleeding recurred 4 days later. Ligation of the deeper vessels in combination with vaginal packing stabilized the condition. Blood loss from this injury was at least 800 mL. Conclusion: Coital injuries resulting from sexual assault in the puerperium are sometimes quite serious. Clinicians should conduct a careful speculum examination, abdominal ultrasound scanning and rectal examination to minimize the morbidity and mortality. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。