摘要
目的:探讨产伤性新生儿锁骨骨折临床防治体会。方法:对经阴道分娩的25例新生儿锁骨骨折诊治及预防进行回顾总结。结果:8590例新生儿中发生25例锁骨骨折,发生率0.29%。结论:产伤性新生儿锁骨骨折与分娩方式、第二产程过长密切相关,应行产前评估,合理选择分娩方式,提高助产技术,及时诊断治疗,减少骨折发生,避免医疗纠纷发生。
Objective:To discuss the experi-ence of prevention and treatment of neonatal clavicular fracture caused by birth trauma. Methods:Review the diagnosis, treatment and prevention of 25 cases of neonatal cla-vicular fracture underwent vaginal delivery. Results:25 of 8590 newborns had neonatal clavicular fracture ,its rate was 0.29% .Con-clusion:Neonatal clavicular fracture caused by birth trauma was closely related to mode of delivery and prolonged second stage.So every puerpera should take prenatal evalua-tion and choose a reasonable mode of deliv-ery.At the sametime improving midwifery skills,timely diagnosis and treatment were necessary.All of these could reduce the frac-ture and avoid medical disputes.
关键词
新生儿
产伤
锁骨骨折
诊治预防
Neonate
Birth trauma
Clavic-ular fracture
Diagnosis treatment and pre-vention