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分娩期子宫破裂为产科严重并发症之一,对母婴健康和生命危害极大。现将我院1983～1986年收治的9例作一分析: 一、临床资料 (一)发病年龄与产次:本组年龄21～33岁。均为经产妇,其中二胎5例,三胎以上4例。 (二)破裂与胎方位的关系:忽略性横位5例,占55.6％,其余为复合先露、臀位,枕横位,枕前位各一例占44.4％。 (三)破裂程度:9例均经剖腹手术证实为子宫破裂,7例为完全破裂,其中一例伴有膀胱破裂,胎儿全部死亡;行子宫次全切除术6例,子宫修补术1例。2例子宫不完全破裂,其中一例胎儿存活,一例胎儿死亡;均行子宫修补术。9例产母均痊愈出院。
Uterine rupture during childbirth is one of the serious complications of obstetrics, which has great harm to the health and life of maternal and child. Now our hospital from 1983 to 1986 admitted to 9 cases for an analysis: First, the clinical data (a) the age of onset and parity: the group aged 21 to 33 years old. Are by the maternal, including two cases of 5 cases, more than 3 cases of 4 cases. (B) the relationship between rupture and fetal position: Ignore the horizontal cross in 5 cases, accounting for 55.6%, the rest of the composite first dew, breech, occipital transverse position, anterior occiput of a case accounted for 44.4%. (C) the degree of rupture: 9 cases were confirmed by laparotomy for uterine rupture, 7 cases were completely ruptured, one case accompanied by ruptured bladder, all fetal death; subtotal hysterectomy in 6 cases, 1 case of uterine repair. Two cases of incomplete uterine rupture, one case of fetal survival, a case of fetal death; all underwent uterine repair. Nine cases of mother were discharged.