一例产时阴道复杂裂伤致盆腔血肿临床报告 及分析

Clinical Report and Analysis of Pelvic Hematoma Caused by Complex Vaginal Laceration during Labor

摘要: 本文报道1例产时阴道复杂裂伤，阴道壁血肿清除后，出现持续性且逐渐加重的盆腔血肿。孕妇顺产后感肛门坠胀感，行阴道缝合止血后仍觉坠胀感，伴有休克、感染、贫血，行影像学示“盆腔包块”，动态检测包块逐渐增大，生命体征平稳后，行“超声引导下盆腔血肿清除术”。产后血肿起病隐匿易被忽略，处理不及时可引发产后出血、感染甚至休克，早期预防和及时诊断对于改善预后至关重要。

Abstract: This article reports a case of complex vaginal laceration during labor. After the vaginal wall hematoma was cleared, a persistent and gradually worsening pelvic hematoma occurred. After a natural delivery, a pregnant woman felt a sensation of rectal distension. Even after vaginal suture for hemostasis, she still felt the distension, accompanied by shock, infection and anemia. Imaging studies showed a “pelvic mass”. Dynamic detection showed that the mass gradually increased in size. After vital signs stabilized, an “ultrasound-guided pelvic hematoma evacuation” was performed. Postpartum hematoma has an insidious onset and is easily overlooked. If not treated in time, it can lead to postpartum hemorrhage, infection and even shock. Early prevention and timely diagnosis are crucial for improving prognosis.