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目的:探讨非洲地区(布隆迪)妇女妊娠晚期子宫破裂发生的原因及防治措施。方法:回顾性分析布隆迪大王子医院和基特加医院2012年5月—2013年9月收治子宫破裂患者36例的临床资料。结果:36例产妇死亡1例,病死率为2.77%,完全子宫破裂30例,胎儿均死亡,占100%,不完全破裂6例,新生儿存活4例,占66.7%。结论:妊娠晚期子宫破裂对孕产妇及胎儿威胁极大,死亡率高,尤其胎儿死亡率极高,若能及早诊断,及时手术均可降低其发生;另外,及时、合理处理阴道试产中各种难产因素及合理使用催产素,均能预防子宫破裂的发生。
Objective: To investigate the causes and preventive measures of uterine rupture in women of late pregnancy in Africa (Burundi). Methods: The clinical data of 36 patients with uterine rupture who were treated in Prince Hospital of Burundi and Gitega Hospital from May 2012 to September 2013 were retrospectively analyzed. Results: 36 cases of maternal death in 1 case, the mortality rate was 2.77%, 30 cases of complete uterine rupture, fetal death, accounting for 100%, incomplete rupture in 6 cases, neonatal survival in 4 cases, accounting for 66.7%. Conclusion: The third trimester uterine rupture has a great threat to maternal and fetus, and the mortality rate is high, especially the fetal mortality rate is extremely high. If it can be diagnosed as early as possible, the surgery can reduce its occurrence. In addition, Unearthly factors and the rational use of oxytocin, can prevent the occurrence of uterine rupture.