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哺乳期子宫穿孔是人工流产、放置或取出节育环最常见的并发症,应当引起重视。我院自1980年9月至1982年6月共收治子宫穿孔12例,其中哺乳期10例。发生于我院的医源性子宫穿孔5例,均为哺乳期子宫。本文主要探讨哺乳期子宫穿孔发生原因及预防措施等。临床资料本组10例中,年龄最小25岁,最大37岁。手术时间在产后40天至1年,其中6例在产后6个月以内。5例月经尚未复潮,5例月经不规则。误诊为早孕吸宫穿孔者5例。7例为两胎以上的经产妇。致穿孔的器械为一种或两种。本组10例术中均有下腹持续疼痛或阵发性痛。阴道出血2例。发热6例,体温最高达38.6℃。下腹压
Breastfeeding uterine perforation is the most common complications of artificial abortion, placement or removal of IUD, deserve attention. In our hospital from September 1980 to June 1982 a total of 12 cases of uterine perforation, including lactation in 10 cases. Occurred in our hospital iatrogenic uterine perforation in 5 cases, are lactating uterus. This article mainly discusses the causes of breast-feeding uterine perforation and preventive measures. Clinical data of the group of 10 cases, the youngest 25 years old, maximum 37 years old. The operative time ranged from 40 days to 1 year after delivery, 6 of which were within 6 months of delivery. 5 cases of menstruation yet regurgitation, irregular menstruation in 5 cases. Misdiagnosed as early pregnancy aspiration of uterine perforation in 5 cases. 7 cases of more than two babies by maternal. Perforated instruments are one or two. The group of 10 patients had abdominal continuous pain or paroxysmal pain. Vaginal bleeding in 2 cases. 6 cases of fever, body temperature up to 38.6 ℃. Lower abdominal pressure