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头位难产312例临床分析 被引量:2

Clinical analysis of 312 cases of dystocia of vertex presentation
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摘要 目的:探讨头位难产的原因,临床表现及处理方法,以提高产科质量。方法:回顾性分析312例头位难产的临床资料。结果:胎膜早破、产程延长、宫缩乏力、宫颈水肿为常见临床表现。导致头位难产的主要因素依次为胎头位置异常、巨大儿、宫缩乏力、软产道及骨产道异常。剖宫产占61.85%。结论:及早识别,及时处理,正确地选择分娩方式是改善妊娠结局的关键。 Objective: To analyze the causes, clinical manifestations and treatment of dystocia of vertex presentation. Methods: Three hundred and twelve cases of dystocia of vertex presentation were studied retrospectively. Results: The common manifestations were premature rupture of membrane, lasting birth process, uterine inerda and cervix edema. The main causes of dystocia of vertex presentation were occiput malpresentation, macrosomic infant, uterine atony, abnormal pelvic and genital tract. Cesarean section rate was 61.85%. Conclution: Early diagnosis and treatment, correct choice of the dilivery method are the keys to improve the pregnancy outcome.
作者 上官雪鸿
出处 《海南医学院学报》 CAS 2007年第6期535-536,539,共3页 Journal of Hainan Medical University
关键词 难产 分娩 妊娠结局 Difficult labour Childbirth Pregnancy outcome
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