摘要
本文分析1989.1～1989.12在我院分娩的产妇中伴有脐带异常患者406例(23.54%)、资料完整的398例中脐带缠绕346例,占总出生新生儿中20.06%。在398例中54.02%有胎儿窘迫,新生儿窒息6.28%,宫内死胎0.76%,新生儿死亡0.25%,新生儿畸形0.5%。在胎儿窘迫者中胎心的监护发现38.14%,临床发现61.86%。398例中剖腹产48.37%,产钳18.61%,平产33.02%。脐带并发症的难产率高,应加强妊娠晚期的胎儿监护,尤其临产过程中的紧密观察更为重要,发现胎心、羊水及胎头下降异常应积极处理;但有脐带异常亦并非均需剖腹产,本文有1/3患者属平产分娩,因此临床动态观察是正确处理的关键。
Three hundred and ninety eight women with umbilical cord complications deli-vered in this hospital were analysed.The incidence of umbilical cord complication was23.54%,with cord around the neck in 19.25%,fetal death 0.75%,fetal distress 54.02%and neonatal asphyxia 6.28%.Cord complications might lead to acute or chronic fe-tal distress or even death,but did not always causing trouble.In the series in ourdata,the rate of operative delivery was 56.28%,43.72% delivered spontaneously.It is important to monitor closely during the dourse of delivery for detectingand treating fetal hypoxia as early as possible,which might improve the fetal out-come.
出处
《天津医药》
CAS
1991年第9期530-533,共4页
Tianjin Medical Journal
关键词
脐带
并发症
围产儿
预后
complications of umbilical cord
perinatal asphyxia
