1 case of uterine scar rupture.docVIP

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1 case of uterine scar rupture

 PAGE \* MERGEFORMAT 5 1 case of uterine scar rupture [Keywords:] scarred uterus; rupture A medical record Female patients, aged 34, for “40 weeks of menopause, lower abdominal pain 30 min” .30 min before admission there was no incentive to lower abdominal pain, with dizziness, sweating, fainting twice, no vaginal bleeding, running water. Past medical history: 8 years ago, producing a pregnancy full-term male live births, flat, 2 + years of age died due to illness; 3 years ago, cesarean section due to placenta previa, bleeding out and a man dead babies; 1 year cesarean section due to placenta previa, a man living out infant, alive. examination: body temperature 36.2 ℃, pulse 120 times / min, breathing 26 times / min, blood pressure 40/20 mm Hg, generally poor, pale, less clear consciousness, limb Jueleng, shortness of breath, heart rate 120 times / min. whole abdominal tenderness, and obstetric conditions: abdominal distension, fundal height of 34 cm, abdominal circumference 100 cm, fetal heart tone is unclear, the whole abdominal tenderness, rebound tenderness, muscle health. Yinfa Yu outside the normal production Married type cervix is #8203;#8203;not open. initial diagnosis: (1) G4P3, 40 weeks pregnant ROP; (2) uterine rupture; (3) uterine scar; (4) hemorrhagic shock; (5) hemorrhagic anemia; (6) fetal distress. give oxygen, antibodies grams, fluid transfusion, etc. down with epidural anesthesia for laparotomy, abdominal surgery see a dark red clot of blood and volume of about 2 000 + ml. Longitudinal rupture of the uterus 2 cm × 8 cm long Remove the dead babies a woman, see the uterus can not repair, hysterectomy subtotal hysterectomy, surgery went well and after symptomatic treatment, 7 days cured. 2 Discussion 2.1 The reasons for uterine rupture caused by cesarean section scar rupture is most common, where the line has a variety of uterine surgery, such as cesarean section, pregnancy after uterine rupture of the uterus or uterine perforation

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