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剖宫产后行子宫肌瘤挖除术1例

丛培霞,刘少华

MEDICAL JOURNAL OF COMMUNICATIONS（2001）

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Abstract
患者,26岁.因停经40周入院.患者在孕期查体发现"子宫肌瘤",择期行子宫下段剖宫产术,子宫切口缝合后见后壁一直径10cm肌壁间肌瘤,切开后见包膜欠完整,予以肌瘤挖除,术中未剥透宫腔,局部创面出血较多,宫缩欠佳,拟行次全子宫切除术.术中出血约600ml,输液3500ml,持续导尿畅,色清.术后7小时出现血尿,疑为导尿管脱出,重新导尿仍为血尿,消毒后内诊:宫体软,收缩欠佳,宫颈位置近后穹窿,不易触诊.
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