妊娠晚期自发性子宫破裂1例报告

A case report of spontaneous uterine rupture in late pregnancy

子宫破裂是妊娠期及分娩期严重的并发症之一,是指子宫体部或子宫下段肌层连续性中断,严重威胁母婴健康。本文报道衢州市衢江区妇幼保健院妇产科1例自发性子宫破裂患者的临床诊治过程,患者因“停经38+5周,不规则下腹痛1 d”入院,第二产程因胎心监护频发晚期减速,考虑急性胎儿宫内窘迫,即刻行子宫下段剖宫产术,术中发现子宫破裂,行子宫破裂修补术,术后产妇恢复良好,术后8d母婴出院。现回顾性分析该病例特点,以期为后续自发性子宫破裂的诊治提供参考。

Uterine rupture is one of the serious complications of pregnancy and childbirth.It refers to the interruption of the uterine body or lower segment of the uterine muscle layer,which seriously threatens the health of mother and child.This paper reports the clinical diagnosis and treatment of a case of spontaneous uterine rupture in the Department of Obstetrics and Gynecology,Qujiang District Maternal and Child Health Hospital in Quzhou City.The patient is admitted to the hospital due to irregular lower abdominal pain for 1 day at 38+5 weeks of menelipsis.During the second stage of labor,due to frequent late deceleration of fetal heart rate monitoring,acute fetal distress is considered,and cesarean section of the lower uterine segment is performed immediately.Uterine rupture is found during the operation,and uterine rupture repair is performed.The mother recovered well after the operation and the mother and baby were discharged 8 days after the operation.The characteristics of this case were retrospectively analyzed in order to provide reference for the subsequent diagnosis and treatment of spontaneous uterine rupture.