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近年来人工流产的并发症已极少见,但对子宫畸形的孕妇,人流时由于漏诊、漏吸而引起的并发症者屡有发生,本文报道三例并对其发生原因和处理进行分析讨论。[例1]28岁,主诉人流吸宫后剧烈腹痛2天,初诊为子宫穿孔、肠穿孔及弥漫性腹膜炎。经剖腹探查证明与初诊符合,并发现系双子宫,两个宫体完全分开:经行部份肠切除术及适当处理后60天出院。[例2]29岁,主诉于停经后50天检查诊断早妊,行吸宫术,术后,左下腹部肿块逐渐增大,如10厘米直径块物,二月后入院手术,术中发现为两个完全分离的子宫体,左侧约为4月妊娠,右侧子宫体正常大小,诊断为双子官合并中期妊娠。[例3]30岁,主诉
In recent years, the complications of induced abortion have been rare, but pregnant women with uterine malformation, abortion due to missed diagnosis, leakage and complications have occurred frequently, this article reports three cases and their causes and treatment analysis and discussion . [Example 1] At the age of 28, the complainant was forced to abstinence and suffered severe abdominal pain for 2 days. The first visit was uterine perforation, intestinal perforation and diffuse peritonitis. The laparotomy proved consistent with the first visit and found that the Department of the double uterus, the two completely separated Palace: After partial bowel resection and proper treatment 60 days after discharge. [Example 2] 29 years old, complained of 50 days after menopause diagnosis of early pregnancy, aspiration abortion, postoperative, the lower left abdominal mass gradually increased, such as 10 cm diameter block, after admission in February surgery was found to be Two completely separated uterus, the left is about April pregnancy, the right uterus normal size, diagnosed as Gemini merger with medium-term pregnancy. [Example 3] 30 years old, chief complaint