临床资料 1 一般资料 3例均为初产妇,胎儿偏大。其中2例为产钳助产。第1例产后第2天见伤口肿胀、青紫、裂缝,肠线紧绷于伤口上,诊断为会阴血肿;第2例分娩时会阴伤口处延伸约2cm,第5天折线时伤口裂开;第3例分娩时见会阴5点处重新裂开一裂口与原侧切伤口呈V字型,第3天解大便时伤口裂开。2例之裂开伤口内有灰白色坏死样组织,不吸收之肠线及渗血。其中1例还伴有体温升高,疑为败血症。 Clinical data 1 general information 3 cases are primipara, the fetus is too large. Two of them were forceps midwifery. The first case postpartum 2 days see the wound swelling, bruising, fissures, catgut tension on the wound, the diagnosis of perineal hematoma; the second case of perineal wound delivery extends about 2cm, the fifth day broken line when the wound dehiscence; 3 cases of childbirth to see the perineum at 5 o’clock to re-split a tear and the original lateral wounds were V-shaped, the first 3 days when the stool solution cracked stool. Two cases of split wounds with gray necrotic tissue, do not absorb the gut and bleeding. One case also accompanied by elevated body temperature, suspected sepsis.