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1989年1月～1998年12月聊城市有11例孕产妇因子宫破裂死亡,报告如下.1 临床资料1.1 一般资料 1989年1月～1998年12月聊城市分娩活产数393703例,孕产妇死亡162例,孕产妇死亡率41.15/10万.在死亡的孕产妇中子宫破裂11例,占6.79%.年龄22～34岁,农民10例,工人1例.胎儿娩出前死亡5例,胎儿娩出后死亡6例、子宫破裂发生地点;家中及村卫生室7例,乡卫生院2例,市医院2例.死亡地点:转院途中6例,家中、市医院各2例,县医院1例.1.2 原因9例于胎儿娩出前肌肉注射、穴位封闭或静脉滴注催产素.其中无脑儿、脑积水各1例,分别在某医院行利凡诺引产,因宫缩乏力给1%的催产素;1例于宫口开全后,穴位封闭催产素4次;2例产前分别肌肉注射催产素10u、40u;4例在产前静脉滴注1%～10%催产素.未注射催产素2例,其中横位1例,在家腹痛3d,转到县医院急症手术时,发现胎儿及附属物全部进入腹腔,1例剖腹产术后1年内妊娠,孕30周时子宫自发破裂.
1989 January ~ December 1998 Liaocheng 11 cases of maternal death due to uterine rupture, the report is as follows.1 Clinical data 1.1 General Information January 1989 ~ December 1998 live births in Liaocheng 393,703 cases, pregnant women 162 cases of death, maternal mortality rate of 41.15 / 100 000. In the death of pregnant women in 11 cases of uterine rupture, accounting for 6.79% .Age of 22 to 34 years old, 10 farmers, 1 workers .Fetal premature death in 5 cases, fetal 6 cases of death after delivery, the location of uterine rupture; 7 cases of home and village clinics, township hospitals in 2 cases, City Hospital 2. Death location: 6 cases of transfer, 2 cases of home and city hospitals, 1 case of county hospital .1.2 Cause 9 cases of intramuscular injection of the fetus before delivery, points closed or intravenous infusion of oxytocin, including no brain, hydrocephalus in 1 case, respectively, in a hospital Rifanuo induced abortion due to uterine inertia to 1% Of oxytocin; 1 case of uterine cervix open, the point of occlusion of oxytocin 4 times; 2 prenatal intramuscular injection of oxytocin 10u, 40u; 4 cases of prenatal intravenous infusion of 1% to 10% oxytocin. 2 cases of oxytocin injection, including 1 case of horizontal, abdominal pain at home 3d, go to the county hospital emergency surgery and found that all fetuses and ancients into the abdominal cavity, 1 case of cesarean section After 1 year of pregnancy, 30 weeks pregnant spontaneous rupture of the uterus.