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子宫翻出为少见的产科并发症,我院1974～1992年收治3例。其中2例为急性完全子宫翻出,1例产褥期不完全子宫翻出,3例均因失血致休克,其中2例在家分娩,现报道如下。 例1,26岁,孕_2产_1,足月妊娠临产于1983年8月14日入院,顺娩一活婴后,助产者牵拉脐带,同时按压宫底,以助胎盘娩出,突然发现宫底消失,见宫底和尚未剥离胎盘翻出在阴道外,即行人工剥离胎盘术,并见子宫胎盘床出血不止,血压渐下降至10/7kPa,脉搏120次/min,在抗休克同时全麻下经阴道徒手复位,术后9d出院。 例2,24岁,第3胎,足月在家分娩,接生员牵拉脐带并按压宫底娩出胎盘,产后12h以“产后出血并休克”转入我科。查体:血压12/8kPa,脉搏100次/min,面色苍白,子宫轮廓不清,阴道出血不多,给予输血及宫缩剂治疗,入院12h
Uterine pulls out as a rare obstetric complication, admitted to our hospital from 1974 to 1992, 3 cases. Of which 2 cases of acute complete uterine puff, 1 case of puerperal incomplete uterus pulls out, 3 cases were due to hemorrhagic shock, of which 2 cases at home delivery, are reported below. Cases of 1,26 years old, pregnancy _2 _1 production, full-term pregnancy abortion in August 14, 1983 admission, delivery of a living baby, the midwives pull the umbilical cord, while pressing the bottom of the palace to help deliver the placenta, Suddenly found the end of the palace disappeared, see the end of the palace and has not been peeling off the placenta in the vagina, that is, line separation of placenta accreta and see the uterus placenta bed more than bleeding, blood pressure gradually decreased to 10 / 7kPa, pulse 120 beats / min, At the same time under general anesthesia vaginal reduction by hand, 9d after discharge. Example 2,24 years old, the third child, full-term childbirth at home, midwives pull the umbilical cord and press the bottom of the palace to deliver the placenta, postpartum 12h to “postpartum hemorrhage and shock” into our department. Examination: blood pressure 12 / 8kPa, pulse 100 beats / min, pale, uterine outline is not clear, vaginal bleeding is not given to the treatment of blood transfusion and uterine contractions, admission 12h