分娩期非瘢痕子宫自发性破裂一例

子宫破裂是指在分娩期或妊娠晚期子宫体部、底部或子宫下段发生裂开,直接威胁产妇及胎儿生命,是产科急危重症。最常见的原因是子宫操作史和梗阻性难产,其次还有子宫发育畸形、子宫肌层发育不良、剖宫产切口选择不当以及阴道助产损伤等。主要临床表现是胎心异常、腹痛和阴道出血。对于无子宫破裂高危因素且临床症状不典型的患者发生子宫破裂容易出现漏诊。讨论分析石家庄市第四医院收治的1例分娩期非瘢痕子宫自发性破裂病例,为该病的早期识别、早期诊断和及时处理提供帮助。

A Case of Spontaneous Rupture of Non-Scar Uterus during Delivery

Uterine rupture refers to the rupture of the body, bottom or lower part of the uterus during delivery or late pregnancy, which directly threatens the life of parturient and fetus, and is a critical obstetric disease. The most common causes are the history of uterine operation and obstructive dystocia, followed by uterine dysplasia, myometrium dysplasia, improper selection of cesarean section incision and vaginal midwifery injury. The main clinical manifestations were abnormal fetal heart, abdominal pain and vaginal bleeding. For patients without high risk factors of uterine rupture and atypical clinical symptoms, uterine rupture is prone to missed diagnosis. A case of spontaneous rupture of non-scar uterus during delivery in the Fourth Hospital of Shijiazhuang was discussed and analyzed to provide help for early identification, early diagnosis and timely treatment of the disease.