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Subserosal blood vessels rupture in late pregnancy in 1 case


[J]. JTrauma, 1994,37 (1) :50-58. E4] DavidAPresent, NahidKNainzedeh, AriBenYishay. Pfa1. Theevaluationofcompartmentalsyndromesusingsomatosen-soryevokedpotentialsinmonkeys [J]. ClinOrthop, 1993,287:276285. [5] Li Yongbo, Ling Tong, Ma Jinzhong, et al. Bone compartment syndrome in the ischemia-reperfusion injury in rats [J]. Spine, 1995,15 (3) :174-176 .6 JMubarakSJ, HargensAR, () wenCA, eta1. TheWickCathe-tertechniquemeaurementofintramuscularpressure. Anewresearchandclinicaltool [J]. JBoneJointSurg (Am) ,1976,58.1016-1020. [Article ID] 1005-1139 (2002) 04-0253 Ol late pregnancy of a ruptured blood vessel in 1 case subserosal Zhangze Song, Sun Gui Province, Lu Yanping (i. Space Hospital of Hubei Province, Yichang 444200; 2 + People's Liberation Army General Hospital Obstetrics and Gynecology, Beijing 100853, China) [Key words] end of pregnancy; pregnancy complications [CLC] R714.25 [Document code] E1 clinical cases female, 28 years old, GP. , Mainly due to abdominal pain 2h in at 2:00 on July 29th, 2001 AGED 3O minutes. Successful pregnancy, giving birth without exception, the same room and no recent history of trauma. AGED examination: T37.3 ℃, BP16.0/10.0KPa, HR86/min, generally good, house high 32cm, abdominal girth 101cm, fetal heart rate 146/min, the first outcrop, S ~, contraction 40s / 3 ~ 4min, cervix large 1cm. Intrauterine pregnancy at 36 weeks, head position, threatened preterm delivery unit for observation. 6 3O minutes maternal chest tightness, palpitations, weakness, pale, cold sweat, blood pressure 10.5/6.5kPa, fetal heart rate dropped to 7O ~ 80/min. Consider abruption, amniotic fluid bleeding with artificial rupture of membranes, see clear, the line B-acute abdominal examination revealed a free liquid, blood was drawn paracentesis, under general anesthesia emergency laparotomy, intraoperative see Hemoperitoneum 1000ml, right in front of the uterus See blood clot about 850ml, the lower uterine segment incision no vital signs of a baby boy was delivered. The placenta attached to the bottom of the right house, 3min placenta [Received Date] 2002-05-22 [Revised] 2002-07-05 [Author] Zhangze Song (1968), female, Tengchong County of Yunnan Province, 1990 graduated from Kunming Medical College, Hospital of Hubei aerospace physician, PLA General Hospital O1-level training physicians; published 3. Phone: (027) 83968297 membranes was delivered complete and close the incision, exploration of people see the right cornual fallopian tube into the uterus of Venous tortuosity groups, extremely filling, such as finger thick, the surface of a 0.3cm tear, active bleeding, exploration and bureaucratic barrier, 1, 8 characters gut suture bleeding, bilateral annex and the liver and spleen normal. Surgery hemoperitoneum were removed about 3500ml, postoperative inflammation, blood transfusions, rehydration therapy, 6d discharged. Discharge diagnosis: the Ministry of the right cornual vein spontaneous rupture; hemorrhagic shock; 1 / 1 36 weeks with intrauterine pregnancy after cesarean section; stillborn. 2 to discuss the disease is extremely rare, since 1905 WillamsJw since the disease was first reported at home and abroad a total of more than 8O reported cases, occurred in the period of pregnancy, maternal and child mortality rates, ranging up to 3O ~ 8O, rarely laparotomy or autopsy before the diagnosis. Clinical manifestations can be caused by venous rupture of the location and size of different break. Mainly for sudden abdominal pain, peritoneal irritation, and hypovolemic shock. The disposal of this case to remind the general obstetrician attention late pregnancy enlarged uterus, abdominal organs translocation occurs when there is contraction of abdominal pain should be carefully observed, detailed investigation of the vital signs of unexplained hemoperitoneum and shock, should be highly alert to the possibility of disease, such as lower extremity superficial veins and accompanied by vulvar varicose veins, this disease should be considered first, no matter how the fetus, diagnosis is not clear should seize the opportunity to laparotomy. Laparotomy after cesarean section fetal and placental expulsion, the Ministry of carefully looking for bleeding, the blood given to suture IE.