国际生殖健康/计划生育杂志

国际生殖健康/计划生育 ›› 2019, Vol. 38 ›› Issue (3): 263-264.

• 病例报告 • 上一篇    

不规范药物流产后子宫破裂伴小肠内瘘一例

刘学丽，赵刘碧琦，徐子力，完颜文亚，李慧苓，范丽梅   

  1. 130041长春，吉林大学第二医院妇产科
  • 收稿日期:2019-03-20 修回日期:2019-04-09 出版日期:2019-05-15 发布日期:2019-05-16
  • 通讯作者: 范丽梅，E-mail：fanlimei1971@126.com E-mail:976097830@qq.com
  • 作者简介:2019-06-01

A Case Report of Uterine Rupture and Intestine Fistula Caused by Non-Standardized Medication Abortion

LIU Xue-li，ZHAO Liu-bi-qi，XU Zi-li，WANYAN-Wen-ya，LI Hui-qin，FAN Li-mei   

  1. Department of Obstetrics and Gynecology，The Second Hospital of Jilin University，Changchun 130041，China
  • Received:2019-03-20 Revised:2019-04-09 Published:2019-05-15 Online:2019-05-16
  • Contact: FAN Li-mei，E-mail：fanlimei1971@126.com E-mail:976097830@qq.com

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摘要： 临床上药物流产是在有资格的医疗机构中进行，不规范药物流产失败可能导致严重并发症，虽然临床上较少见。本文报道1例自行服用药物流产所致的小肠内瘘及盆腹腔感染，旨在提高医务人员对药物的使用规范和群众对药物流产并发症的认识，不符合规范的药物流产会带来严重的并发症，甚至危及患者的生命安全，医务人员应严格掌握药物流产的适应证和禁忌证，在具备抢救条件下的医疗机构进行，避免此类情况的再次发生。

关键词: 子宫破裂, 流产, 人工, 盆腔感染, 病例报告

Abstract: Medical abortion should be performed in a qualified medical institution. Although serious complications of medical abortion are rare, they could be emerged due to non-standard medical abortion. We reported a case of the uterine rupture and small intestine fistula with abdominal infection due to herself medication abortion in this paper. This case told us that medical staff should pay attention to the standard of medical abortion, and that the public should improve their knowledge on the complications of medical abortion. The non-standard medical abortion could lead to serious complications which even endanger the life safety. We concluded that medical staff should strictly follow the indications and contraindications of medical abortion, and that medical abortion should be done in those medical institutions with rescue condition, so as to avoid the serious complications like this case.

Key words: Uterine rupture, Abortion, induced, Pelvic infection, Case report