Spontaneous uterine laceration in labor: a type of intrapartum uterine injury different from the classical uterine rupture
Spontaneous uterine laceration in labor: a type of intrapartum uterine injury different from the classical uterine rupture
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分娩时自发性子宫撕裂：一种不同于经典子宫破裂的产时子宫损伤类型
DOI：
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发表时间：
2018
影响因子：
1.8
通讯作者：
H. Inoue
中科院分区：
文献类型：
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作者：
K. Hishikawa;Remi Watanabe;K. Onuma;T. Kusaka;Takanori Fukuda;Y. Kohata;H. Inoue
子宫破裂是指子宫壁完全破裂，是分娩时子宫体损伤的同义词。然而，子宫撕裂伤，部分和轻微的子宫肌层撕裂，没有很好的特点。一名35岁的日本妇女，无疤痕子宫，在孕38周分娩一名婴儿。胎盘分娩后不久，她抱怨下腹剧烈疼痛，并伴有生命体征休克。剖腹探查术发现部分和浅肌层和浆膜撕裂，大量腹腔积血。尽管其损伤的浅和轻微的性质，子宫裂伤可引起灾难性的大量腹腔积血，并应注意在临床实践中作为一种类型的分娩期子宫损伤。
Abstract Uterine rupture, a complete disruption of uterine wall, is synonymously used of intrapartum uterine corpus injuries. However, uterine laceration, partial and minor myometrial tear, is not well characterized. A 35-year-old Japanese woman with unscarred uterus was delivered of a baby at 38 gestational weeks. Shortly after delivering the placenta, she complained of severe lower abdominal pain with shock vitals. Exploratory laparotomy revealed a partial and shallow myometrial and serosal tear with massive hemoperitoneum. Despite its shallow and minor nature of the injury, uterine laceration can cause a catastrophic massive hemoperitoneum and should be noted as a type of intrapartum uterine injury in clinical practice.