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。

With Death guitarist Schuldiner adopting vocal duties, the band made a major impact on the scene.

随着死亡的吉他手Schuldiner接受主唱的职务，乐队在现实中树立了重要的影响。

But he could still end up breakfasting on Swiss-government issue muesli because all six are accused of nicking around 45 million pounds they should have paid to FIFA.

不过他最后仍有可能沦为瑞士政府&议事餐桌&上的一道早餐，因为这所有六个人都被指控把本应支付给国际足联的大约4500万英镑骗了个精光。