1.病例介绍 患者张某,女,25岁,农民,病例号是20639,主因停经3月,陈发性宫缩4小时于1996年11月24日18时以“子宫破裂”急诊入院。孕产,1995年10月第一胎是足月臀位在本院施行剖宫产术,产后未避孕,末次月经1996年8月5日停经后无早妊反应,在本院检查诊断为“宫内妊3月”患者要求终止妊娠,1996年11月22日口服术非司酮25mg,,12小时一次,连服3天,服完米非司酮2小时后顿服米索前列醇6mg,服米索前列醇1小时后出现阵发性宫缩,内诊查宫口开大2厘米,见一胎趾从阴道前壁露出,考虑子宫破裂,立即在硬膜外麻下行小剖宫加子宫修补术,开腹后探 1. Case description Zhang, female, 25 years old, the farmer, the case number is 20639, mainly due to menopause in March, 4 hours of tonic contractions at 24:00 on November 24, 1996 to “uterine rupture” emergency admission. Motherhood, October 1995 The first child is full-term breech position in our hospital for cesarean section, postpartum non-contraception, the last menstrual August 5, 1996 no premenopausal reaction after menopause in our hospital examination diagnosed as “ Intrauterine pregnancy in March ”patients require termination of pregnancy, November 22, 1996 oral administration of pessimin 25mg, 12 hours once, and even for 3 days, after taking mifepristone 2 hours after taking male oxprednol 6mg , Taking misoprostol 1 hour after paroxysmal uterine contractions, inspection of the cervix open 2 cm large, see a toe from the anterior vaginal wall exposed, consider the rupture of the uterus, immediately under epidural anesthesia in small cesarean section Plus uterine repair surgery, open exploration after