产科学英文课件:17 子宫破裂 rupture of uterus.pptx
- 文档编号:190484
- 上传时间:2022-10-05
- 格式:PPTX
- 页数:17
- 大小:1.69MB
产科学英文课件:17 子宫破裂 rupture of uterus.pptx
《产科学英文课件:17 子宫破裂 rupture of uterus.pptx》由会员分享,可在线阅读,更多相关《产科学英文课件:17 子宫破裂 rupture of uterus.pptx(17页珍藏版)》请在冰豆网上搜索。
,子宫破裂UterineRupture,ShanghaiJiaoTongUniversity,Definition,overalluterinerupturerateof1in1,146pregnancies(0.07%).Uterineruptureinpregnancyisarareandoftencatastrophiccomplicationwithahighincidenceoffetalandmaternalmorbidity.Separationofthemuscularwalloftheuterususuallyoccursduringlaboroccasionallyhappenduringthelaterweeksofpregnancy,Causes,Scarreduterus:
weakscarafterpreviousoperationsontheuterushistoryofcesareansection(VBAC,vaginalbirthafterc-section)myomectomyexcisionofauterineseptumpreviousperforationofuterus(D&C,hysteroscopy,forcepsdelivery,Dystocia:
fetalmacrosomia,contractedpelvisInducedlabor:
withoxytocin,withprostaglandinsObstetricmanagementforcepsuse,IntrauterinemanipulationOthers:
directuterinetrauma(eg,caraccident,fall)violence(eg,gunshot),Types,Incompleterupture:
overlyingvisceralperitoneum(uterineserosa)ispresentcompleterupture:
full-thicknessdisruptionoftheuterinewall,anative,unscarreduterus:
auteruswithasurgicalscar:
(cesareandelivery,uterinerepair,myomectomy),fetaldistress(78%):
prolonged,late,orrecurrentvariabledecelerationsorfetalbradycardiasareoftenthefirstandonlysignsofuterinerupture.diminishedbaselineuterinepressure;lossofuterinecontractility;abdominalpain(5-22%);recessionofthepresentingfetalpart;hemorrhage(11-67%);shock(29-46%);,Symptomsandsigns,1.Ruptureofscar,symptomisveryslightinincompleteruptureabdominalpainwronglyattributedtotheonsetoflaborseverepainandshockoccursincomplete(suddenlypain)fetaldistressbleedinginvagina,2.Spontaneousruptureduringobstructedlabor,prolongedlaborviolentuterineactionspathologicretractionringfetaldistressasharp,tearingpaininlowerabdomenpulserapidbloodpressurefallfetusmaybefeltintheabdominalcavity,Pathologicretractionring:
developsduringlabor.Theringformsatthejunctionoftheactiveupperandtherelativelypassiveloweruterinesegments.,Diagnosis,standardsignsandsymptomsultrasonographycontinuouselectronicfetalmonitoringCTMRIuterinewall:
2-3.5mm,ManagementoftheRupturedUterusThemostcriticalaspectsoftreatment:
atimelydiagnosis;minimizingthetimefromtheonsetofsignsandsymptomsuntilthestartofdefinitivesurgicaltherapy;(10-37mins),Treatment:
immediatestabilizationofthemotherandthedeliveryofthefetusareimperative.TypeofuterineruptureExtentofuterineruptureDegreeofhemorrhageGeneralconditionofthemotherMothersdesireforfuturechildbearing,Prevention:
Multiplepreviouscesareandeliveries;Previousclassicmidlinecesareandelivery;Previouscesareandeliverywithaninterdeliveryintervaloflessthan2years;Previouscesareandeliverywitheitherlaborinductionoraugmentation;Previouscesareandeliveryinawomancarryingamacrosomicfetusweighing4000g;Previousuterinemyomectomyaccomplishedbymeansoflaparoscopyorlaparotomy;,Keynote,Thecausesoftheruptureoftheuterine?
pathologicretractionring?
- 配套讲稿:
如PPT文件的首页显示word图标,表示该PPT已包含配套word讲稿。双击word图标可打开word文档。
- 特殊限制:
部分文档作品中含有的国旗、国徽等图片,仅作为作品整体效果示例展示,禁止商用。设计者仅对作品中独创性部分享有著作权。
- 关 键 词:
- 产科学英文课件:17 子宫破裂 rupture of uterus 产科 英文 课件 17 子宫 破裂
![提示](https://static.bdocx.com/images/bang_tan.gif)