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脐带脱垂(以下简称脱垂),是严重的分娩合并症。脱垂之脐带受到先露部之压迫,造成血液循环中断,胎儿窘迫,以致死亡。据1981年全国17个地区围产儿死亡原因调查,脱垂围产儿病死率为36.98%,居各种并发症围产儿死因的第三位。国外报导,脱垂围产儿病死率为9～49%。由于脱垂发生突然,抢救成功与否,与许多条件有关。特别是在宫口未开全,短期内阴道分娩无望,拟行剖腹产又疑虑时间过长,此时往往进退两难。在提倡少生优育的今天,除了降低围产儿死亡率以外,尚需降低Ⅱ°窒息率,以提高新生儿的素质。因此及时诊断,当机立断,正确处理是降低围产儿死亡率及Ⅱ°窒息率的重要措施之一。脱垂虽为产科的常见病,但国内外的报
Umbilical cord prolapse (hereinafter referred to as prolapse), is a serious complication of delivery. Prolapse of the umbilical cord by the first part of the oppression, resulting in interruption of blood circulation, fetal distress, resulting in death. According to a survey of the causes of perinatal deaths in 17 districts in China in 1981, the perinatal mortality rate was 36.98%, ranking the third among all causes of perinatal complications. Foreign reports, prolapse perinatal mortality was 9 to 49%. Due to sudden prolapse, the success of the rescue, with many conditions. Especially in the cervix is not open to the whole, short-term vaginal delivery hopeless, proposed caesarean section and doubts for too long, this time often dilemma. In today’s promotion of adolescent birth control, in addition to reducing perinatal mortality, the need to reduce the degree of asphyxia Ⅱ °, in order to improve the quality of newborns. Therefore, timely diagnosis, prompt decision, the correct treatment is to reduce perinatal mortality and Ⅱ ° asphyxia one of the important measures. Although prolapse is a common obstetric disease, but at home and abroad