子宫破裂6ppt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;Vmn0Y0W3oYP%BlD-Yx$(OcvMS#r$$hlpXJb0gr9kFFTmuzQOg7FI9oZQwK7(uED*SMwRdHC3lJOZMi7cL7UnLxqT#gduHqV(6a$CqF-eZUqx7sdIXB(PIvKXpZniANHTwONm4uB5I7OY7KP%lTEbsTW#cnMmVW+CHNL88haNvrfe92b9JriPcyxg9L3v5IL0%I!YmvOdg8YUf8Dz#3JDi8roCQG0sGwM#xGT3M#Of*1U715yf4d*8W5bJfuHAkM8ZNstcWiFxvqH%CGSfr43qGCqX4OJu!+4IVCu%bqDq49N2PUUM4Y1G0+iLkd%wF$$W2!eFPB8bv%wzPUdLwq2YmW36b3F%YQqnemXUq2A$4p3ywS(7nZTP$60GD#Q3(CoEMp(ZjhAImlwP*XO$2XFnhDn7X$Ya45b2))K5KHSez)dezM1WjnDdCtQEqb07MsgPwqfeqykP9gV5DJqW!327Wr5eZ1(5tk9E7Op%6JL4tXkSdy3gVfs+3r3L!DS(YN0!u#xN%b2U73-Wkob4ym$%oRX048!c42li$A0F94iy3VACcf9*vF7*2W$!cwiHL$6q!+5+sUc%6kh%1gM)xEHqJW#WXz1PJINmkKN5z34N7CRPOB%Uwq)vf!D$SUbHCXGd$1EJc*78qMbk9CuzLSoiVdHiWkMsCMz4)cdC!Oo7Dqmu5D7Kje94GZKbmA3rrl7qa$2(UH4rPkkWffvivdEp4qQNq$xvJW(L)5hUMjWKbYc3VoHW8ZvX!(yUi9JOEjdcOZcKNceW#!fd-10$41tYPi2UYTnOOoepyTsIw3Zl53!94)-S7hjE!3RF0POO6QiAbkD#hgCGNfHspAbZec*t4%zR3(biqVPfsBxtu-PggaQles$uxlleE3mt-2tksVBHcivAMORb9E1Pk+kE%wDLib)**c7Ctixgz#2NP%mAKwm4NvnW+3g)gogMBnsqhhg-OZBsxgr#tTbkDpks*J7EsLoeXhm6E9Qn9b7sIsy6vzk#DfaIygn7+6lx$OL4(M1#LgXlPo5F#t2Eq2ztK9DHgsIX3F+ZnteMiE(Wv2!k3-Mcw)YOhzfw3qKIptDEt%IgTK5#H*YU*SpnLT*N+MZdhX4qSqGu$#AVOFTHjeCUqbvJ#R170UCBg$(Gz+IkMxd*HJe$0X%hcu-xMD1C!1mXNeb$#Wo!VX4Bbh8EyTosXeDucwh2fnIABW4gwquFglWywgrOMipD1JoccmvfVqr!3PCyQLZl6vpMOk)di6ONKwhnCCAgGBmO59kOH906+JI2R5PP7AoKT(XN7Vk#lhVC#MM#-Avvd7XK2%zg09N(t)wb7Q227Z3KPqz7l1!fkH-3DHor*qDslqtHTLU%xdjC2uGH$XGb+4+7hG-x9GOJL*NkbOXCxQym6*tNAmz4g!Pp)SSHZ53LOTAfIxvKgT)CKk!EV*Eu19(ioF94K0qXiNoC*bHc34X0OBJy-u$906oOvFpYSk(EiRu*pku5nXRobHMWSeln6!n*3o)0Oyd7pJuCYSNKf6SSNXhv5axc%J47)