关键词: 子宫破裂, 妊娠中期, 妊娠末期, 剖宫产术, 诊断, 治疗

Abstract:

Spontaneous rupture of the uterus is a rare case in clinic. Clinical symptoms are mostly gradually aggravated abdominal pain, but some patients′ clinical symptoms have atypical and hidden, which makes early diagnosis difficult and delays the timing of surgery, and may lead to hemorrhagic shock, even death and other serious consequences. We report two cases of spontaneous uterine rupture in the middle and late stages of pregnancy. Case 1 was diagnosed with hemorrhagic shock (shock index of 1.3) after 31 weeks of amenorrhoea, with lower abdominal pain for 2 h, and was diagnosed with acute illness, and was treated with emergency caesarean section, with a rupture at the right uterine horn during the operation. Case 2 was diagnosed with breech delivery after 38⁺⁶ weeks of amenorrhoea and was found to be in the breech position for more than 3 months, with caesarean section, with poor uterine contraction during the operation, and with a rupture of 1.0 cm×0.5 cm at the left uterine horn during the operation. Both cases were successfully treated with uterine repair. The two cases emphasize the key to early recognition and management of spontaneous uterine rupture. By improving the alertness and diagnostic techniques of medical personnel, and taking timely and appropriate therapeutic measures, the prognosis of patients can be significantly improved.

Key words: Uterine rupture, Pregnancy trimester, second, Pregnancy trimester, third, Cesarean section, Diagnosis, Therapy