妊娠中期自发性腹壁血肿1例并文献复习  

Spontaneous abdominal wall hematoma in the second trimester of pregnancy:a case report and literature review

作　　者：班海莉 BAN Haili(Department of Obstetrics,Wuming Hospital of Guangxi Medical University,Guangxi Zhuang Autonomous Region,Nanning 530199,China)

机构地区：[1]广西医科大学附属武鸣医院产科,广西南宁530199

出　　处：《妇儿健康导刊》2025年第3期73-76,81,共5页JOURNAL OF WOMEN AND CHILDREN'S HEALTH GUIDE

基　　金：广西壮族自治区卫生健康委员会自筹经费科研课题(Z-A20230778)。

摘　　要：妊娠期自发性腹壁血肿是妊娠期急腹症的一种类型,但因其发病率低,容易出现漏诊及误诊,导致不良围产结局。本文报道1例瘢痕子宫的经产妇,于妊娠中期出现自发性腹壁血肿的诊治过程,同时回顾分析国内外相关文献资料,探讨相关处理策略,以期提高临床工作者对妊娠期自发性腹壁血肿的认识,帮助临床医师树立意识并更好地管理妊娠期自发性腹壁血肿,减少漏诊及误诊,改善围产结局。Spontaneous abdominal wall hematoma during pregnancy is a type of acute abdomen in pregnancy,but due to its low incidence,it is easy to be missed diagnosed and misdiagnosed,leading to adverse perinatal outcomes.This article reports the diagnosis and treatment of a case of spontaneous abdominal wall hematoma in the second trimester of pregnancy in a multipara with scarred uterus.At the same time,the relevant literature at home and abroad is reviewed and the relevant treatment strategies are discussed in order to improve clinicians’understanding of spontaneous abdominal wall hematoma during pregnancy,help clinicians to establish awareness and better manage spontaneous abdominal wall hematoma during pregnancy,and reduce missed dia gnosis and misdiagnosis,improve perinatal outcomes.

关 键 词：自发性腹壁血肿 妊娠中期 瘢痕子宫 

分 类 号：R714[医药卫生—妇产科学]