妊娠合并自发性腹直肌断裂所致腹膜外出血,临床上较为少见,往往易被误诊,我院曾遇1例,并经手术治愈,现介绍如下:患者31岁,已婚,妊娠6+月。过去月经正常,曾足月顺产5次。就诊前4——5天有剧烈咳嗽,下腹部有坠胀性隐痛。于入院前4小时腹部突然剧烈疼痛,并于左下腹隆起一包块,过去未发现腹部有包块存在,阴道无流血。检查:体温、脉搏、呼吸正常。心脏无异常,左肺有湿性(?)音,右肺正常。血压130/90毫米汞柱。宫底脐上一指多,胎心音良好。左下腹平脐隆起一包块,约10×10厘米大小,不活动,压痛与反跳痛明显,肝、脾无肿大,入院诊断妊娠合并卵巢囊肿扭转,在全麻下施行急诊手术。手术所见:于左下腹作正中旁切口,皮下组织有淤血现象,肿胀明显,当切开左侧腹直肌前鞘时见有多量血块并有活动性 Pregnancy complicated by spontaneous rectus abdominis rupture caused by extraperitoneal bleeding, clinically rare, often easily misdiagnosed, our hospital had a case and was cured by surgery, are as follows: Patients 31 years old, married, 6+ month. Normal menstruation in the past, full-term 5 months. 4 - 5 days before treatment with a violent cough, lower abdomen have bulging sexual pain. Sudden severe abdominal pain 4 hours before admission, and in the left lower quadrant bulge a mass, in the past there was no abdominal mass, vaginal bleeding. Check: body temperature, pulse, breathing normally. No abnormal heart, left lung wet (?) Tone, right lung normal. Blood pressure 130/90 mm Hg. Uterus at the end of the palace refers to more than a good fetal heart sound. Left umbilical umbilical up a mass of about 10 × 10 cm in size, inactivity, tenderness and rebound tenderness significantly, liver, spleen no enlargement, admitted to diagnose pregnancy with ovarian cyst torsion, under general anesthesia for emergency surgery. Surgical findings: in the left lower quadrant for the median incision, subcutaneous tissue congestion, obvious swelling, when the left anterior rectus abdominis sheath open when seen a large number of blood clots and activity