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编号:10781099
羊水过少69例临床分析
http://www.100md.com 《中华现代妇产科学杂志》 2005年第9期
羊水过少,,羊水过少;剖宫产;围生儿结局,2结果,3讨论,【参考文献】
     【摘要】 目的 探讨羊水过少的相关因素及对围生儿的影响。寻找正确的处理方法,降低围生儿病死率。方法 采用回顾分析方法,将我院69例剖宫产中证实羊水过少的产妇作为观察组,另取其每例后的下一个产妇作为对照组,进行分析比较。结果 羊水过少组:妊娠高血压综合征、胎儿宫内发育迟缓(IUGR)、过期、延期妊娠、胎儿窘迫、新生儿窒息率明显高于对照组。结论 羊水过少是胎儿宫内慢性缺氧的最敏感特异性指征,一旦确诊,宜及早终止妊娠,以剖宫产终止妊娠为宜。

    【关键词】 羊水过少;剖宫产;围生儿结局

    Clinical analysis on 69 cases of oligohydramnios

    JIN Yu-zhen,WU Ying,LIU Jing-fen.

    Baoshan Branch,The First Peoples Hospital of Shanghai,Shanghai 200940,China

    【Abstract】 Objective To investigate the relative factors of oligohydramnios and to analyse the effects of oligohydramnios on perinatal outcome.Methods Clinical data of 69 cases of oligohydramnios proved by cesarean section were analyzed retrospectively.Patients who delivered after each case of oligohydramnios was served as control.Results The rate of pregnancy induced hypertension(PIH),intrauterine growth retardation(IUGR),post-term pregnancy or post expected date of confinement pregnancy,fetal distress and asphyxia neonatrum were significantly higher in oligohydramnios compared with the control.Conclusion oligohydramnios is the sensitive and specific index of fetal chronic lacking of oxygen in uterine cavity.Once confirmed,we must actively terminate pregnancy,and cesarean section may be a proper method. ......

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