肩难产的临床分析及处理(1)
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【中图分类号】R493.3 【文献标识码】 B【文章编号】1672-3873(2011)03-0095-02
【摘要】肩难产是产科难产中较少见的一种。是指在阴道分娩过程中，经过常规的向下牵引未能娩出胎儿肩部，而需要通过特殊操作(如Mcroberts’体位和耻骨上施压)来协助完成胎儿娩出。肩难产可导致新生儿窒息、缺血缺氧性脑病、臂丛神经损伤，锁骨骨折，肱骨骨折，严重时导致围产儿死亡，产妇可发生产道裂伤感染，产后出血等，给患儿和家属带来极大的痛苦，并由此导致医疗纠纷，故早期预测及时诊断，正确处理肩难产，有利于提高产科质量，降低母婴发病率。
【关键词】肩难产 分析 处理
Abstract: Shoulder dystocia is a rare obstetric childbirth. Shoulder dystocia is defined as the process of vaginal delivery after failed conventional pulling down fetal head was delivered, but through a special operation ( Mcrober,s Position and Pressure on the pubic symphysis ) to assist with delivery of the baby. Shoulder dystocia can lead toasphyxia, hypoxic ischemic encephalopathy, brachial plexus injury, clavicular fracture, humeral fracture, serious cause of perinatal death. Shoulder dystocia also can lead to road tear production and maternal infection, postpartum hemorrhage, children and their families to bring great suffering, and the resultant medical malpractice ......
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