产时子宫破裂20例临床处理分析

The Clinical Treatment Analysis of 20 Cases of Intrapartum Uterine Rupture

目的探讨产时子宫破裂的临床特点及处理。方法选取临床20例发生产时子宫破裂患者临床处理资料进行分析。结果经手术治疗,行子宫次全切除术1例,子宫全切除术3例,子宫破裂修补术16例,所有产妇经治疗均痊愈出院,无并发症发生。结论子宫破裂多数有不同程度的先兆征候,若能及时识别,当能挽救母婴。一旦发现或高度怀疑先兆子宫破裂或子宫破裂,即刻停用宫缩剂及阴道操作。

Objective The clinical characteristics and treatment of intrapartum uterine rupture is to be discussed. Methods Analyze the clinical treatment data selected from 20 patients suffer from intrapartum uterine rupture. Methods All patients are given surgical treatment,one patient is operated sub-total hysterectomy surgery,and 3 cases are operated total hysterectomy surgery,and 16 patients are operated uterine rupture repair surgery. All pregnant patients are cured and discharged from hospital without complication. Conclusion There are signs of uterine rupture in varying degree,if the uterine rupture can be diagnosed timely,both the child and mother can be rescued. Once the threatened uterine rupture or uterine rupture is detected or suspected,the Tocolytic agents and vaginal operation are stopped immediately.