孕12周+3天自发性子宫破裂误诊一例
Journal of Rare and Uncommon Diseases(2015)
Abstract
患者,女,30岁,孕2产3,因“停经87天,下腹痛6小时”于2013-05-20 04:50急诊入院.该妇平素月经规律,末次月经2013-02-23,停经80天时查B超提示“早孕,相当于12+周大小,胎心搏动好”.2013-05-19晚间20:00左右无外伤、腹部受压及性生活等原因下出现下腹痛,阵发性,渐加剧,伴恶性、呕吐及肛门坠胀感,遂急诊来院,腹部检查,经腹可及阵发性子宫收缩感,子宫区无压痛,急查血常规:WBC10.0x10^9/L,N81.7%,Hb93.0g/L,Hct0.266;B超提示“胎儿胎心搏动尚良好,盆腹腔见中等量积液”.2006年因“社会因素”行剖宫产一次,2011年9月因“双胎,瘢痕子宫”再次行剖宫产手术诊断.
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