国际妇产科学杂志

国际妇产科学杂志 ›› 2025, Vol. 52 ›› Issue (2): 234-236.doi: 10.12280/gjfckx.20241180

• 普通妇科疾病及相关研究：病例报告 • 上一篇    下一篇

无乳链球菌感染致子宫穿孔并发感染性休克一例

封玲, 李金林()   

  1. 210039 南京梅山医院妇产科（封玲），重症医学科（李金林）
  • 收稿日期:2024-12-25 出版日期:2025-04-15 发布日期:2025-04-22
  • 通讯作者: 李金林 E-mail:13770794018@163.com

A Case of Uterine Perforation Complicated by Septic Shock Caused by Streptococcus agalactiae Infection

FENG Ling, LI Jin-lin()   

  1. Department of Obstetrics and Gynecology (FENG Ling), Department of Critical Care Medicine (LI Jin-lin), Nanjing Meishan Hospital, Nanjing 210039, China
  • Received:2024-12-25 Published:2025-04-15 Online:2025-04-22
  • Contact: LI Jin-lin E-mail:13770794018@163.com

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摘要：

无乳链球菌属于条件致病菌，在孕妇、新生儿中感染率较高，较少见于非妊娠成年人，由此引发感染性休克更为少见。报道1例由无乳链球菌感染致子宫穿孔进而引发感染性休克的病例，该患者因突发中上腹痛10余小时入院，入院即呈休克状态，查CT见腹腔游离气体；宫腔体积明显增大、积气；腹腔、盆腔积液。急诊腹腔镜探查见子宫巨大穿孔，有大量脓液及脓苔流出。该患者因积极处理预后良好出院。

关键词: 无乳链球菌, 休克, 子宫穿孔, 宫腔积脓, 病例报告

Abstract:

Streptococcus agalactiae is a conditional pathogen, the infection rate is higher in pregnant women and newborns, less in non-pregnant adults, resulting in septic shock is more rare. A case of uterine perforation caused by Streptococcus agalactiae infection and subsequent septic shock was reported. The patient was admitted to hospital for more than 10 hours due to sudden middle and upper abdominal pain, and was in shock immediately after admission. Free gas was found in abdominal cavity by CT examination. The volume of uterine cavity increased significantly, gas accumulation, fluid accumulation in abdominal cavity and pelvic cavity. Emergency laparoscopic exploration showed a huge perforation of the uterus, with a large amount of pus and pus outflow. The patient was discharged from hospital due to positive treatment and good prognosis.

Key words: Streptococcus agalactiae, Shock, Uterine perforation, Pyometra, Case reports