Improper application of oxytocin and uterine rupture caused by infection in 1 case report.docVIP

 PAGE \* MERGEFORMAT 4 Improper application of oxytocin and uterine rupture caused by infection in 1 case report 1 Clinical data Patients, female, 24 years old, pregnant 2 production 1, due to “lower abdominal pain after abortion, vaginal bleeding 3 days”, was transferred to our department 2005.1.15 from the surgery. Trimester patient 2005.1.10 for induction of labor in the local health center line surgery, abdominal pain and paroxysmal 1.11 pm, 1.13 amniotic fluid from the break, a small amount of vaginal bleeding, not the fetus was delivered. local hospitals to give “OT” intravenous (specific drugs is unknown, increased abdominal pain after vaginal bleeding increased, accompanied by nausea, vomiting. nearly 2 days as purulent vaginal bleeding, odor, accompanied by abdominal distension and a sense of falling .1.14 rushed County Family Planning Bureau diagnosis “obstruction”, treatment 1 day after the void into the void in our hospital surgery, immediately after diagnosis of exclusion into the our department. admission examination: 38.4 24 128 120/70, anemia appearance, muscle tension, showing plate abdomen, tenderness, rebound tenderness, the following abdominal staggering. sepsis of the genital secretions, see, smell, line posterior fornix puncture out of 5 ml of blood was dark red. B-Tip: The height suspected broken uterus, intrauterine infection. night emergency laparotomy, intraoperative anterior uterine serosa see the next (the posterior wall of the bladder neck close to breaking a transverse population of about 13cm, more than bilateral broad ligament, rupture of the fetus outside the see is necrosis (about the size and placental tissue in May, a large number of yellow-green foul intrauterine pus, break at multiple myometrial necrosis. Let family members to the scene to understand the condition of patients after the surgical approach chosen, the strong demand to retain the uterus. Then after the removal of necrotic tissue, to hydrogen peroxid