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第44卷第6期 林萍萍,樊佳宁,陆倩倩,等. 43例子宫破裂的临床分析[J].
2024年6月 南京医科大学学报(自然科学版),2024,44(6):788-796 ·793 ·
Blood transfusion Yes No No No Yes Yes Yes Yes Yes Yes
cm× segment seg⁃ of seg⁃ of with
3 side side uterus uterus
a uterine uterine uterus
with uterine right left of
finding horn lower lower laceration the at lower the at the of part side right
Intraoperative uterine right of of rupture of rupture cm cm×5 5 laceration of rupture laceration cm 6 laceration 5 cm laceration at the lower part of the uterus lower the 8 cm laceration at the lower segment the at
Subserous hematoma cm Incomplete Incomplete a with ment cm cm × 2 uterus Incomplete a with ment rupture cm uterus at tear cm bleeding active laceration cm
rupture flow 6 3 uter⁃ 5 lower 1 uterine 6
uterine non⁃scarred blood cord B⁃ultrasonography of side right of hemoperitoneum uterus, CT and the at echo B⁃ultraso⁃ by indicated lower in echo B⁃ultrasonography B⁃ultrasonography paracentral and uterine B⁃ultrasonography
10例非瘢痕子宫破裂产妇的临床资料分析 of cases 10 of analysis finding Imaging umbilical high Hemoperitoneum, by indicated ratio laceration Hemoperitoneum, B⁃ultrasonography by indicated of side left of Laceration B⁃ultrasonography by indicated abnormal and Hemoperitoneum uterus the of wall nography abnormal Hemoperitoneum, by indicated segment by indicated Hemoperitoneum CT lower in echo Abnormal by indicated segments
表5 data Clinical heart S/D - - - deceleration deceleration, us fluid, post⁃ amni⁃ Ⅱ anterior decel⁃ rate hemorrhage hemor⁃ deceleration, and postpartum shock deceleration, fluid, post⁃
5 presentation pain, fetal rate amniotic hemorrhage grade pain, heart hemorrhage, rate pain, hemorrhagic rate amniotic
Table rate hemorrhage fetal postpartum hemorrhage
Clinical deceleration heart heart Ⅲ fluid, shock heart heart Ⅲ
Abdominal rate None None Fetal Fetal grade partum Postpartum Abdominal otic eration, Postpartum rhagic Fetal abdominal hemorrhage, Fetal grade partum
rupture surgery surgery surgery surgery delivery delivery delivery delivery delivery delivery
of detection
Time During During During During After After After After After After
delivery caesarean caesarean caesarean section in failure delivery delivery delivery delivery delivery delivery
of section (twins) labor
Mode Expected Expected section Expected section Cesarean following trial Vaginal (forceps) Vaginal (forceps) Vaginal (forceps) Vaginal Vaginal Vaginal
No. 1 2 3 4 5 6 7 8 9 10