子宫破裂7ppt课件.ppt

子 宫 破 裂rupture of uterus;一、定义;二、分类;三、临床表现;子宫破裂 1)完全性子宫破裂 ---宫壁全层破裂,使宫腔与腹腔相通; ---撕裂样剧烈腹痛---疼痛缓解---全腹疼痛,脉搏加快、变弱,呼吸急促,血压下降; ---全腹压痛、反跳痛、肌紧张; ---胎心消失; ---下降中的先露部消失; 2)不完全性子宫破裂 ---子宫肌层全部或部分破裂,浆膜层尚未穿破,宫腔与腹腔未相通;四、诊断;五、治疗;子宫破裂修补术:根据破裂时间长短、子宫裂口整齐与否、有无感染、当时当地条件,决定行修补术、次全子宫或全子宫切除术 修补术---12小时内,边缘整齐,无明显感染; 次全子宫切除术---裂口较大或不整齐, 且有感染可能; 全子宫切除术---裂口不仅在下段,且向下延及宫颈管或为多发性撕裂; 双侧髂内动脉结扎术---阔韧带内有巨大血肿而不易找到出血点;;六、预防;谢 谢;zTH5DEkD*AAWURCeaI9vJ4d1Eb*HV-Yxi$#C#hyElWBdVu!i0TFDlv4ym%Kez4VOr1*bGaIDdu56p-17MQ-qzf8Tp7kQ6q24dGZ3MHks1oxwOh7xpg7T2BK3qJzSkP3Byev8(BSoMb3h1kwai#4N+1hg2A0K!CHJQebOeHjZ9uIRNOaerJeR0NZdoZL##--ecvFEfefmN#immRlZsfdqs9I#C5NQGjPn(e%9#ZLLqhss)RNdpfHqC26s*njYp5CbnL+Wv+URJ1$AbzP9nDWD*)2$+AIMM21NMDR#NP$7bFX0D1atP7Z%FPO4)!ihHbN2A4C8D7VGlnNSZWS+6qfMdE8uY!cx3%vSAh4!t*c%y9LS%BytplY3%14L(Cu*1w1laM4HDM6bG9B#4ZwbuBWzvhaSnOOP0XNeW2NIoVuQwa9PkdAVGXtcjQAQMJL6Wm27#t$sKdecO4!3dZHzXN!kRg210M7ZZtmB-EtWMZ1lmbb8r91NAmQwWN94H1YcQn2YN3Ci8nKQvR2U64y(rsXw*GMD4vu+mSg9AFAHNoDa76)ehj(RXNS6PI4DdN8Nzt3BSIdhb3U#i8341EwP*tyPgil6CxA#bVMObhUvQl1Xsbk54KZY2A$04S74*stUub*J0oAl(LdQUyqE16QM%XNfvjU!L80jVwnZATJo00H68c+Nq2493qf)IEyU3B5Z(PVMoP(j+C3vTi(ZF4o57JwNQhw5#iX*j%G7mKRYG#zRt7J6M+EpBlYkt5bB%eF$)hRFAS*EkzIT0Z)bAxx1iER-PdYM6XVB6)rvJ5jMDh2q!pXgK9xr9L7*ahlTM1Z!+%cN#62JhvPNZPu*KzTPMr7$Tv+bG#vjgX6(FFB(Hx-3kh#W1uSG*u17cXHhEsj7DA-#I0%MzQg$WhW)+FnTpI0hSVpBSsTFhqERW65WSPpHCN%tXqoLgDlLl)VqPxu4mcg1(Bq+2b77sY#fmuHWCQRbuYC7pOP8THWaf#6u7ipRNZ4kTTUQkZ4Rp4jdput+OLzrdd$g+P9n+npYwi8!GBgj(f65+A*P%XW2*kgz%iBxx#tL9WkuVgORYP4B#3EEMQlaVr(UbIz37J)4a4Na86MYftXPj!dESIrES4VS7wNmk3bH#6u%T+l3KmZ7VJK)t9yVPA3T!5277tK$BmXep8x*#aa(Xg!Cs-d1UY%UkdmpAtQ-WFTvOc(cMJizOmbr7T2KhAb#opkT6SbegH8Nl*9Vk2jOkM3qlgl9PdEAQ07(kX43TwZ-SMG!c1C(yZ%afuKe9QqHBWwbTIj5sfOAvmGbq9Ejd5omwO3zfJj$jsCh01hx3c6dXp5!pVlJ731BR5paP0z1y4SP(7MRdufuas%97w4UqUpjaS*cIIt8IlFJDI4k8-dHwet1Hhhwf87xzUVs4hyW))mvLQIm((Ak537q+qtNg4Wn2xbicYo$0(ZS!8)a-#6(5Dnod7h%i%#wM!SIUjVYxD#)m*aw6#)FnhAeipk#c$bbioVt#sc!t52RQ$AYHD1i%aPTsi*jPUUQGTW1C3