病例报告:拉坦法复位治疗亚急性子宫内翻

IF 0.1 Q4 OBSTETRICS & GYNECOLOGY
Effendy Citra Utami, Kusika Nicko Pisceski, Hutabarat Alwin
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引用次数: 0

摘要

背景:子宫内翻是一种罕见的产科急诊,但可能危及生命。如果不立即诊断,大量和被低估的失血会导致低血容量性休克。病例:一例24岁妇女因分娩后阴道出血并发腹痛从地区公共卫生中心转诊。产后发现阴道高度在联合以上3指处,局部检查证实阴道内有软块突出。超声不能显示子宫底,可见子宫内翻。通过液体复苏和输血来稳定病人的病情。患者计划剖腹探查,我们确认子宫内翻。我们成功地完成了每一个腹部复位都是用奥拉坦的方法完成的。结论:任何有出血和盆腔疼痛症状的患者,如经阴道检查有软、充血、出血的肿块,均应考虑子宫内翻。及时的治疗包括液体复苏和解剖复位
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Case Report: Haultain’s Method Reposition for Subacute Uterine Inversion
Background: Uterine inversion is a rare obstetric emergency but potentially life-threatening condition. If these are not immediately diagnosed, the massive and underestimated blood loss can lead to hypovolemic shock. Case: Case of 24 years old woman was referred from the district Public Health Center with vaginal bleeding after delivery with abdominal pain. We found fundal height postpartum is 3 fingers above symphysis and confirmed a soft mass protruding inside the vagina at the local examination. The ultrasound cannot present the fundus of the uterus and impressed a uterine inversion. Stabilization for the patient is done with fluid resuscitation and blood transfusion. The patient planned for exploratory laparotomy and we confirmed uterine inversion. We did per abdominal reposition success which was managed by Haultain’s method. Conclusion: Uterine inversion should be considered in any patient with symptoms of hemorrhage and abdominopelvic pain, with the physical findings of a soft, congested, bleeding mass within the vagina on bimanual examination. Prompt treatment consists of fluid resuscitation and anatomical repositioning is needed
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来源期刊
Journal of Clinical Obstetrics and Gynecology
Journal of Clinical Obstetrics and Gynecology Medicine-Obstetrics and Gynecology
CiteScore
0.30
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0.00%
发文量
8
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