关键词: 妊娠, 子宫, 宫旁静脉, 出血

Abstract:

Abstract： Objective To discuss the diagnosis and treatment for rupture and bleeding of uterine and parauterine vein during pregnancy and the prognosis of the pregnant women and fetus. Methods To retrospectively analyze the diagnosis and treatment course for the six cases of uterine and parauterine vein rupture and bleeding during pregnancy received between January, 2001 and August, 2012 in Taizhou Central Hospital. Results All of the six cases of pregnant women went to see a doctor for the acute abdominal pain symptoms with no obvious incentive, ultrasonography exam hinted the seroperitoneum, of which three cases were observed the hematoma ; non-coagulate bleed were drew by abdominocentesis and exploratory laparotomy were performed for the all cases; for one case who was mid-pregnancy with single fetus, seaming and hemostasis by tamping gelatin sponge was performed, and conservative therapy was conducted until the fetus was delivered for mature , the fetus by caesarean section is survived; four cases were late pregnancy with single fetus and were conducted caesarean section and the fetuses were all survived; the last case middle twin pregnancy was conducted caesarean section and the fetal death occurred. Conclusions Ultrasonic examination suggested that seroperitoneum occurred, the other pathogenesis was excluded and the non-coagulation fluid drew with abdominocentesis, the uterine and parauterine vein bleeding during in the duration of pregnancy can be diagnosed before operation so as immediate treatment can be performed to enhance the survival rate of the perinatal infant.

Key words: pregnancy, uterus, parauterine vein, bleeding