子宫破裂

The first indication of the operation was placental disorder(45%),the sec-ond was uterine rupture(40%),the third was uterine atony(15%).

胎盘因素及子宫破裂是近十余年来产科急症子宫切除的主要原因。

Results Lower uterine segment has all been formed after 33 weeks of 430 gravida, Lower uterine segment Scar flaw was found in 76 cases by B ultrasound, 11 cases were diagnosed threatened uterine rupture confirmed by surgery.

结果 430例孕妇的子宫下段在妊娠33周以后均已形成，76例经B超诊断存在子宫下段瘢痕缺陷，其中11例诊断为先兆子宫破裂，并均经手术证实。

Results The incidence of obstetrical emergency hyst-erectomy in our hospital was about 0.14%.

结果 我院产科急症子宫切除率为0.14%，首位原因是胎盘因素(45%)，其次为子宫破裂(40%)，宫缩乏力居第三(15%)。

Results Among 17 cases of uterus rupture,the average antenatal care was 0 4 times every pregnant women,bleeding volume were 1100 ml,12 cases of shock(70 6%),5 cases forced uterectomy(29 4%), 16 cases of perinatal death(94%).

结果 17例子宫破裂中，平均每人产前检查次数 0 4次，平均出血量 110 0ml ，发生休克 12例( 70 6%)，子宫切除 5例( 2 9 4%)，围产儿死亡 16例( 94%)。

Results All cases became amenorrheic during GnRH-α therapy. The enlarged uteri all decreased to normal or near normal size. Menstruation returned in 80～90 days after cessation of treatment. Three cases conceived within four menstrual periods. One of them resulted in the birth of a healthy 3 150 g male at 38 weeks gestation by cesarean section. The second pregnancy resulting after adenomyomectomy was terminated by emergent cesarean section at 30 weeks gestation because of threatened rupture of uterus. The third is now normal at 28 weeks pregnancy .The fourth has had 2 menstrual periods and is still being followed up.

结果 GnRH-α用药期间4例均闭经，血雌二醇于用药的第3周降到绝经期水平；用药6次后增大的子宫缩小至正常或接近正常。1例子宫后壁局限性腺肌瘤未行手术切除者，用药后腺肌瘤缩小73.7%。3例于腹腔镜术后、停药转经的4个月内妊娠；另1例停药转经2个月，现在随访中。3例妊娠转归：1例足月剖宫产分娩；1例手术切除肌壁间腺肌瘤者，孕30周时因先兆子宫破裂急诊行剖宫产术；1例目前孕22周。

Their fecundity outcome were followed-up after cessation of GnRH-α treatment. Results All cases became amenorrheic during GnRH-α therapy. The enlarged uteri all decreased to normal or near normal size. Menstruation returned in 80～90 days after cessation of treatment. Three cases conceived within four menstrual periods. One of them resulted in the birth of a healthy 3 150 g male at 38 weeks gestation by cesarean section. The second pregnancy resulting after adenomyomectomy was terminated by emergent cesarean section at 30 weeks gestation because of threatened rupture of uterus.

结果 GnRH-α用药期间4例均闭经，血雌二醇于用药的第3周降到绝经期水平；用药6次后增大的子宫缩小至正常或接近正常。1例子宫后壁局限性腺肌瘤未行手术切除者，用药后腺肌瘤缩小73.7%。3例于腹腔镜术后、停药转经的4个月内妊娠；另1例停药转经2个月，现在随访中。3例妊娠转归：1例足月剖宫产分娩；1例手术切除肌壁间腺肌瘤者，孕30周时因先兆子宫破裂急诊行剖宫产术；1例目前孕22周。

To discuss the feasibility of application of B ultrasound in screening metra scar flaw of late trimester of pregnancy and predict uterine rupture.

目的 探讨应用B超筛查妊娠晚期子宫瘢痕缺陷预测瘢痕子宫破裂的可行性。

Results:3 cases simple metrorrhexis, 2 cases metrorrhexis with combined injury in abdomine,5 cases traumatic miscarriage and profluvium sanguinis,without other injury.

结果 单纯子宫破裂出血者3例，子宫破裂出血并腹部复合伤者2例，其中1例抢救无效死亡；外伤性流产、出血，无其他外伤者5例。

Results For 3 cases simple metrorrhexis, 2 cases metrorrhexis with combined injury in abdomine, 5 cases traumatic miscarriage and profluvium sanguinis, without other injury.

结果：单纯子宫破裂出血者3例，子宫破裂出血并腹部复合伤者2例，其中1例抢救无效死亡；外伤性流产、出血，无其他外伤者5例。

ResultsFor 3 cases simple metrorrhexis,2 cases metrorrhexis with combined injury in abdomine,5 cases traumatic miscarriage and profluvium sanguinis,without other injury.

结果：单纯子宫破裂出血者3例，子宫破裂出血并腹部复合伤者2例，其中1例抢救无效死亡；外伤性流产、出血，无其他外伤者5例。

On the other hand, the more important thing is because the urban housing is a kind of heterogeneity products.

另一方面，更重要的是由于城市住房是一种异质性产品。

Climate histogram is the fall that collects place measure calm value, cent serves as cross axle for a few equal interval, the area that the frequency that the value appears according to place is accumulated and becomes will be determined inside each interval, discharge the graph that rise with post, also be called histogram.

气候直方图是将所收集的降水量测定值，分为几个相等的区间作为横轴，并将各区间内所测定值依所出现的次数累积而成的面积，用柱子排起来的图形，也叫做柱状图。