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目的:探讨剖宫产术中胎儿娩出困难的原因及对策。方法:对1083例胎儿娩出困难进行临床分析。结果:胎儿娩出困难占剖宫产术中的11.21%,胎儿娩出困难的原因中胎儿因素686例占63.34%,子宫因素197例占18.19%,医源性因素200例占18.47%。剖宫产术中发生胎儿娩出困难组造成产后出血、子宫切口撕裂、脏器损伤、新生儿窒息、新生儿产伤发生率明显高于胎儿娩出顺利组,有显著差异(P<0.005)。结论:剖宫产术并不是绝对安全的分娩方式,明确的手术指征,适时的手术时机,良好娴熟的手术技巧,耐心细致的工作作风,沉着冷静的应急能力才能确保母婴安全。
Objective: To investigate the causes and countermeasures of difficult fetus delivery during cesarean section. Methods: The clinical analysis of 1083 cases of fetal delivery difficulties. Results: Fetal delivery difficulties accounted for 11.21% in cesarean section. Among the causes of fetal distress, 686 cases accounted for 63.34%, 197 cases accounted for 18.19%, and iatrogenic factors accounted for 18.47%. The incidence of postpartum hemorrhage, torn uterine incision, organ injury, neonatal asphyxia and newborn birth injury in cesarean section was significantly higher than that in fetus (P <0.005). Conclusion: Cesarean section is not an absolutely safe mode of delivery. Clear indication of operation, timely operation, skilled surgical skills, patient and meticulous work style, calm and calm emergency ability can ensure the safety of mother and baby.