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本文通过对1978年1月—1985年6月单胎足月臀位154例围产儿死亡原因的分析,指出其主要为脐带因素和足先露。进而对剖宫产术及阴道分娩两种方式进行比较,剖宫产率逐年上升,由12%→70%,围产儿死亡率明显下降,由10%→2.6%。所有剖宫产之围产儿无一例罹病或死亡,随访我们所处理的臀产儿智力发育正常,可见放宽臀位剖宫产术指征的重要性。我们主张选择性剖宫产术,而且一旦决定手术就要及早进行,以免急诊手术给母儿带来的不良影响。
This article analyzes the causes of death of 154 cases of single-term full-term breech from January 1978 to June 1985, and points out that it is mainly umbilical cord factors and foot first dew. Cesarean section rate and cesarean section rate were increased year by year, from 12% to 70%. The perinatal mortality rate dropped significantly from 10% to 2.6%. All caesarean section of perinatal children without illness or death, follow-up we are dealing with normal intellectual development of the buttocks, we can see the relaxation of cesarean section indication of the importance of cesarean section. We advocate selective caesarean section, and once the decision on surgery should be carried out as soon as possible to avoid the adverse effects of emergency surgery to the mother.