妊娠期子宫破裂的早期识别  

Early identification of uterine rupture during pregnancy

作　　者：庄璟怡 应豪 ZHUANG Jing-yi;YING Hao(Shanghai Key Laboratory of Maternal Fetal Medicine,Shanghai Institute of Maternal-Fetal Medicine and Gynecologic Oncology,Shanghai First Maternity and Infant Hospital,School of Medicine,Tongji University,Shanghai 200092,China)

机构地区：[1]同济大学附属第一妇婴保健院,上海市母胎医学重点实验室,上海200092

出　　处：《中国实用妇科与产科杂志》2023年第4期406-411,共6页Chinese Journal of Practical Gynecology and Obstetrics

基　　金：国家重点研发计划(2022YFC2704600,2022YFC2704604)。

摘　　要：妊娠期子宫破裂是罕见的产科并发症,其临床表现多样、缺乏特异性,常造成漏诊或误诊为其他妊娠急腹症而导致母儿灾难性后果。早期识别、及时诊治对改善妊娠结局起到关键作用。文章围绕妊娠期子宫破裂的发病率、高危因素、临床征象等,结合笔者临床经验进行探讨,旨在为妊娠期子宫破裂的早期识别及诊断提供参考。Uterine rupture during pregnancy is a rare obstetric complication with various clinical manifestations but without specificity,which often leads to missed diagnosis or misdiagnosis as other acute abdomen during pregnancy,leading to catastrophic consequences for mothers and children.Early recognition and timely diagnosis and treatment play a key role in improving pregnancy outcome.This article will focus on its incidence,high risk factors,clinical signs and so on,and through combination with the author's clinical experience,a discussion is made in order to provide reference for the early identification and diagnosis of uterine rupture during pregnancy.

关 键 词：子宫破裂 妊娠期 临产前 早期识别 

分 类 号：R714.25[医药卫生—妇产科学]