妊娠合并子宫扭转是临床上罕见而危重的病例,常被忽略和误诊,造成母、婴生命危险。我院自1956年以来遇到3例,均经手术证实,现报道如下。例1.患者26岁,住院号34819,孕3产2。于1972年9月7日以停经40周,剧烈腹痛12小时急诊入院。该患者妊娠经过顺利。入院当日无诱因感到腹痛、头晕、眼花,继之胎动消失,发病后恶心、呕吐6次,无阴道流血。查体:贫血貌,Bp90/80mmHg,P104次/分,宫底剑突下1指,胎位、胎心不清,肛门指诊先露高浮,阴道检查未作。入院印象:孕3产1妊娠40周,胎盘早剥,失血性休克。入院后在输血补液情况下立即在局麻下行剖腹探查术,术中见子宫呈紫蓝色,子宫顺时针扭转180度,子宫后壁扭至切口下,遂作后壁纵切口,娩出一女死婴,宫腔积血约1000ml。先将子宫切口用丝线缝合,再将子宫向左前旋转180°。双侧卵巢均有出血,卵管充血、变粗。行子宫次全切除术及右侧附件切除术。术后经过良 Pregnancy combined with uterine torsion is a rare and critically ill clinical cases, often overlooked and misdiagnosed, resulting in maternal and infant life-threatening. Our hospital has encountered three cases since 1956, both confirmed by surgery, are reported below. Example 1. Patient 26 years old, hospitalization number 34819, 3 pregnancies and 2 births. On September 7, 1972 to menopause 40 weeks, severe abdominal pain 12 hours emergency admission. The patient passed the pregnancy well. No inducement on the day of admission felt abdominal pain, dizziness, vertigo, followed by disappearance of fetal movement, onset of nausea, vomiting 6 times, no vaginal bleeding. Physical examination: anemia appearance, Bp90 / 80mmHg, P104 times / min, under the Palace of the Sword suddenly refers to a finger, fetal position, fetal heart rate, anal fingerprints first exposed high float, vaginal examination did not make. Admission impression: Pregnancy 3 1 pregnancy 40 weeks, placental abruption, hemorrhagic shock. After admission in the case of transfusion fluid immediately under local laparotomy laparotomy surgery see the uterus was purple blue, the uterus is rotated 180 degrees clockwise, uterine posterior wall twisted to the incision, made for longitudinal wall incision, delivered a female Dead baby, uterine bleeding about 1000ml. Uterine incision with silk suture first, then rotate the uterus to the left 180 °. Both ovaries have bleeding, oviduct congestion, thicker. Subtotal hysterectomy and right accessory resection. After good