剖宫产术中并发脾破裂1例
Medical Journal of the Chinese People's Armed Police Forces(2018)
Abstract
脾破裂分为外伤性和自发性,两者的发生机制不同.前者为外伤所致脾破裂出血,后者是没有明显外伤而因其他多种原因所致脾破裂.剖官产术中并发脾破裂实属罕见.
1 病例报告
患者,女,25岁,G2P0.既往史无特殊.患者停经8+4周首次就诊我院,整个孕期检查无特殊,孕前体重指数20.7 kg/m2,孕期体重增长18 kg.
孕39+4周B超检查:双顶径9.4 cm,头围33.8 cm,腹围33.3 cm,股骨长7.7 cm,羊水指数9.8 cm,胎盘功能2级.孕40+3周收入院.官高34 cm,腹围103 cm,宫缩20 ~ 30 s/5~8 min,头位,胎心140次/min.骨盆内测量:双侧坐骨棘不突,坐骨棘间径10 cm,骶骨中弧,尾骨活动,耻骨弓大于90°对角径大于12.5 cm,坐骨结节间径8 cm.
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