妊娠中期自发性子宫破裂1例报告并文献回顾

A Case Report of Spontaneous Uterine Rupture in the Second Trimester of Pregnancy with Literature Review

摘要: 本文报告1例30岁妊娠23周 + 2天女性患者病例，该患者既往有腹腔镜子宫肌瘤剔除史，因突发撕裂样腹痛急诊入院，经检查确诊为子宫破裂、失血性休克，行急症剖腹探查术(子宫破裂修补术 + 胚胎取出术)后恢复良好出院，娩出胎儿无存活。结合病例及文献回顾，文章指出子宫破裂的高危因素、临床表现及诊治方法。强调预防，严格把控手术指征、规范手术技巧并加强高危人群管理。旨在提升临床医师对孕中期子宫破裂的识别与诊疗能力，减少母儿不良结局。

Abstract: This article reports a case of a 30-year-old woman at 23 weeks and 2 days of pregnancy with a history of laparoscopic myomectomy. She was emergently admitted due to sudden tearing abdominal pain, and diagnosed with uterine rupture and hemorrhagic shock after examination. She underwent emergency exploratory laparotomy (uterine rupture repair + embryo removal), recovered well and was discharged, while the delivered fetus did not survive. Combined with the case and literature review, the article identifies the high-risk factors, clinical manifestations, diagnosis and treatment of uterine rupture. It emphasizes prevention measures, including strict control of surgical indications, standardized surgical techniques and enhanced management of high-risk groups. The study aims to improve clinicians’ ability to identify, diagnose and treat uterine rupture in the second trimester of pregnancy, thereby reducing adverse maternal and fetal outcomes.