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題 名 | Spontaneous Uterine Rupture during Pregnancy=妊娠合併自發性子宮破裂 |
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作 者 | 鄭偉吉; 蕭國明; 黃莉文; 蔡育倫; 黃建榮; | 書刊名 | 中華民國婦產科醫學會會刊雜誌 |
卷 期 | 38:1 1999.03[民88.03] |
頁 次 | 31-34頁 |
分類號 | 417.346 |
關鍵詞 | 懷孕; 自發性子宮破裂; Pregnancy; Spontaneous uterine rupture; |
語 文 | 英文(English) |
中文摘要 | 背景:自發性子宮破裂是極具生命危險的產科併發症。 早期的診斷才能得到良好 的預後。 病例報告:此病例是一位 26 歲的女性,第一次懷孕,36 週時主訴下腹痛而就診 。胎兒心跳監視器測得兩次不定型減速及微弱的子宮收縮。因懷疑胎兒窘迫,故施行緊急剖 腹產。術中發現母親腹內出血約 1500 毫升及子宮底有一大約 0 . 5 × 0 . 5 公分的破 裂。 一名女嬰順利娩出,重 1770 公克,Apgar 氏計分表為 5 分,8 分。胎盤並無植入子 宮的情形。 子宮經縫合修補後併給予輸血 500 毫升。術後母親病情穩定,於四天後出院。 嬰兒日後追蹤時也無併發症。由於該名產婦以前並未接受任何腹部或婦產科方面的手術,且 子宮無先天性畸形,吾等認為此病例屬自發性的子宮破裂。結論:自發性的子宮破裂會因為 缺乏前兆,且症狀不貝特異性而容易令人疏忽,導致延誤治療。早期的懷疑、診斷及適當的 手術都是處理自發性子宮破裂的重要步驟。 |
英文摘要 | Background: Uterine rupture is a life-threatening event. It may not have predisposing factors and occur without any specific signs or symptoms, thus the diagnosis is often missed or delayed leading to maternal and fetal mortality. Early surgical intervention can result in good prognosis. Case report: A 28-year-old, G1PO, female patient at 36 weeks of gestation came to our hospital with the chief complaint of lower abdominal pain. Cardiotocographic monitoring showed frequent small uterine contractions with atypical variable deceleration of fetal heart beats in two instances, thus fetal distress was impressed. Emergency laparotomy was performed which revealed hemoperitoneum of about 1500 mL. Uterine rupture, 0.5 × 0.5 cm, over the left fundus near the midline was also noted. A live female baby was born with a body weight of 1770 gm and Apgar scores of 5 and 8 at 1 and 5 min, respectively. Primary closure was done and two units of packed red blood cell were infused. The subsequent course was uneventful and the female baby did well with no morbidity. The patient returned to our clinic for follow-up. Hysterosalp@ngography results were normal. Conclusion: Early diagnosis and prompt surgical intervention are the key steps in treating spont- neous uterine rupture. |
本系統中英文摘要資訊取自各篇刊載內容。