急性子宫内翻是产科罕见的危重并发症,死亡串高达15％—43％。合并胎盘植入则给抢救增加了困难。我院曾抢救成功1例,现报道如下。 1 病历报告 患者26岁,孕1产0。因孕42~(+2)周,1994年4月26日9时20分,门诊以“过期妊娠”收入院.于1994年4月27日8时行催产素引产,于11时30分宫口开全,11时45分侧切分娩1女婴,体重3300克,Apgar评分7分。15分钟后牵引脐带,按压宫底可见一粉红色圆形肿物自阴道脱出,约19×17厘米、胎盘附着于其正中,未剥离。当时出血1500毫升。此时患者面包苍白,脉搏细弱。测血压8/5kPa,心率104次/分。腹部触不到宫底。仔细检查脱出物为子宫体,胎盘附着于宫底。诊断:急性子宫内翻,失血性休克。急查血常规;血红蛋白70g/L;红细胞2.9×10~(12)/L Acute uterine inversion is a rare obstetrical complication of death, the string of death up to 15% -43%. Combined placenta accretion is to increase the difficulty of the rescue. Our hospital had a successful rescue case, are reported below. A medical report of patients aged 26, 1 pregnant and 0. Due to pregnancy 42 ~ (+2) weeks, at 9:20 on April 26, 1994, out-patient to “expired pregnancy” income hospital. On April 27, 1994 8:00 oxytocin abortion, Palace at 11:30 Mouth open, 11:45 birth delivery 1 baby girl, weighing 3300 grams, Apgar score of 7 points. After 15 minutes traction umbilical cord, pressing the bottom of the palace shows a pink round tumor from the vaginal prolapse, about 19 × 17 cm, the placenta attached to the middle, not peeled. At the time of bleeding 1500 ml. Patient at this time pale bread, weak pulse. Blood pressure 8 / 5kPa, heart rate 104 beats / min. The abdomen touches the bottom of the palace. Carefully check the prolapse of the uterus, the placenta attached to the uterus. Diagnosis: acute uterine inversion, hemorrhagic shock. Routine blood routine; hemoglobin 70g / L; erythrocyte 2.9 × 10 ~ (12) / L