Abstract:

Uterine rupture is a rare and critical acute abdominal disease in obstetrics, and occurs mostly in the late pregnancy and delivery period. If the disease is not diagnosed and treated in time, it may endanger the lives of the puerpera and the fetus. The typical clinical symptoms are lower abdominal pain and hemorrhagic shock in patients with a history of uterine surgery. The First Affiliated Hospital of Jinan University admitted a patient with scar uterus rupture at the non-scar part in the second trimester. The characteristic of this case was that the patient had a history of taking dirty food, and the initial clinical symptom was lower abdominal pain after nausea and vomiting, which was relieved after vomiting. This case was misdiagnosed as acute gastroenteritis. The features of the disease were found in this case and the causes of misdiagnosis were discussed based on literature review, to arouse medical attention.

Key words:

Uterine rupture, Misdiagnosis, Acute gastroenteritis

摘要：

子宫破裂是产科罕见且危重急腹症，多发生在妊娠晚期和分娩期，若该病不及时诊治，可危及母儿生命。其典型临床症状为有子宫手术史的患者出现下腹痛及失血性休克。暨南大学附属第一医院收治了1例在妊娠中期发生子宫破裂患者，本病例特殊之处为患者有不洁食物史，首发临床症状为恶心呕吐后出现下腹痛，腹痛症状在呕吐后缓解，且为瘢痕子宫的非瘢痕部位破裂，其误诊为急性胃肠炎。从此病例中发现该类疾病的发病特点，且结合回顾文献探讨其误诊原因，引起医护重视。

关键词:

子宫破裂, 误诊, 急性胃肠炎