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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
   52   53   54   55   56   57   58   59   60   61   62