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本文报道了1970—1973年间117例继发性产后出血患者(产后24小时至6周内出血者)经超声波复合B的扫描,以检查宫内残存的妊娠产物。作者对用超声波检查继发性产后出血原因的作用作了评价。出血发生后,立即进行超声波的复合B扫描。当患者的膀胱被尿液中度充盈时,可见阴道、宫颈及子宫的轮廓为一系列的纵形扫描所绘出,由于产褥期子宫常呈斜位,故在矢状平面上常不易见到这些扫描。子宫腔呈一线形回音(图1a)。此后,在横平面上将子宫从宫底到宫颈作连续的扫描(图1b)。
This article reports a series of 117 patients with postpartum hemorrhage (from 24 hours to 6 weeks postpartum hemorrhage) were scanned by ultrasound B combined to detect intrauterine residual pregnancy products. The authors evaluated the role of sonography in detecting secondary causes of postpartum hemorrhage. Immediately after hemorrhage, a composite B-scan of ultrasound was performed. When the patient’s bladder is moderately filled with urine, the vagina, cervix and uterus are visible as a series of longitudinal scans, which are often not easily seen on the sagittal plane because of the oblique position of the uterus scanning. Uterine cavity linear echo (Figure 1a). Thereafter, the uterus is continuously scanned from the fundus to the cervix on a horizontal plane (Figure 1b).