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【目的】探讨妊娠中晚期子宫浆膜下静脉自发破裂的临床特点、诊治方法。【方法】分析我院收治的 2例该病患者的临床资料 ,结合文献回顾。【结果】本病多表现急性或亚急性持续性腹痛渐加重 ,有不同程度的腹膜刺激征 ;本病易误诊为阑尾炎、先兆早产、胎盘早剥、胎儿窘迫、子宫破裂 ,急性胃肠炎、急性胰腺炎 ;术中见子宫表面血管丛怒张、破裂出血 ;缝扎血管止血或立即剖宫产后止血是本病主要治疗措施。【结论】加深对妊娠中晚期子宫浆膜下静脉自发破裂的认识 ,提高诊疗水平是本病抢救成功的关键。
【Objective】 To investigate the clinical features, diagnosis and treatment of spontaneous rupture of subserosal uterine vein in middle and late pregnancy. 【Methods】 The clinical data of 2 patients with this disease admitted to our hospital were analyzed, combined with literature review. [Results] The disease manifested acute or subacute persistent abdominal pain gradually increased, with varying degrees of peritoneal irritation; the disease is misdiagnosed as appendicitis, threatened premature delivery, placental abruption, fetal distress, uterine rupture, acute gastroenteritis, Acute pancreatitis; intraoperative see uterine surface vascular plexus rupture, bleeding; suture vascular hemostasis or immediately after cesarean section is the mainstay of treatment of this disease. 【Conclusion】 To deepen the understanding of the spontaneous rupture of the subserosal uterine vein in the middle and late pregnancy and to improve the diagnosis and treatment is the key to the successful rescue of this disease.