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<正>妊娠晚期合并子宫浆膜血管自发性破裂致腹腔内出血是妊娠晚期严重的并发症,较为罕见,往往起病隐匿、无明显诱因,症状不典型,需与卵巢囊肿蒂扭转、卵巢囊肿破裂、急性阑尾炎、肾绞痛、胎盘早剥、子宫破裂等相鉴别。在临床中,如误诊延误抢救时机,可威胁母婴生命,孕妇及围产儿死亡率高。故需引起妇产科、外科医师的高度重视,提高警惕。现将我院收治1例"孕34+6周,腹痛查因"的产妇,术后证实为子宫右侧宫角部浆膜血管自发破裂。经积极抢救,母子平安。现将病历汇报如下。
Abstract：[1]Diaz-Murillo R, Tobias-Gonzalez P, Lopez-Magallon S,Magdaleno-Dans F, Bartha JL. Spontaneoushemoperitoneum due to rupture of uterine varicose veinsduring labor successfully treated by percutaneousembolization[J]. Case Rep ObstetGynecol,2014,8(4):380-384.
[2]Zhang Y, Zhao Y, Wei Y, et al. Spontaneous rupture ofsubserous uterine veins during late pregnancy after invitrofertilization[J]. FertilSteril,2009,92(4):395-396.
[3]李锦玉,符玉亭妊娠晚期子宫血管自发破裂4例分析[J]．中华妇产科杂志,19 9 6,3 1(6):3 3-34
[4]魏德娥,王玉霞,田敬霞．妊娠晚期子宫后壁浆膜血管破裂l1例[J]．中华妇产科杂志,1998,33(3):468-469
[5]Aziz U, Kulkarni A, Lazic D, Cullimore JE. Spontaneousrupture ofthe uterine vessels in pregnancy[J].ObstetGynecol,2004,103(6):1089-1091.
[6]刘克菊,林建华．妊娠晚期腹腔内出血3例报道[J]．实用妇产科杂志,2007,23(2):124.
基本信息:
中图分类号:R714.2
引用信息:
[1]欧阳菱菱,郭文.妊娠晚期子宫浆膜血管自发性破裂出血一例及讨论[J].广州医科大学学报,2020,48(04):105-106.
2020-08-15
2020-08-15