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我院自1987～1997年,收治了新生儿产伤股骨干骨折8例,疗效满意,报告如下: 1 临床资料 1.1 一般资料:本组8例,男5例,女3例;左侧4例,右侧4例;骨折确诊时间:新生儿刚娩出4例,1天后1例,2天后1例,5天后1例,7天后1例。骨折类型:横形骨折3例,斜形骨折2例,螺旋形骨折2例,青枝骨折1例;骨折部位:股骨上1/3 4例,中1/3 3例,下1/3 1例。胎位:全臀位3例,单臀位3例,足位2例。分娩方式:剖宫产3例,经产道分娩5例。 1.2 治疗方法:全部采用非手术疗法。Crede氏法治疗2例,即把患儿伤肢过度屈曲,贴住胸腹部前方,该足搁于肩上,用绷带将躯干和伤肢一起固定起来。圆形纸板固定青枝骨折1例。Bryant氏垂直悬
In our hospital from 1987 to 1997, 8 cases of neonatal birth injury femoral shaft fractures were treated with satisfactory results, the report is as follows: 1 Clinical data 1.1 General Information: The group of 8 patients, 5 males and 3 females; the left 4 cases , The right side in 4 cases; fracture diagnosis time: the newborn just delivered in 4 cases, 1 day after 1 case, 2 days after the 1 case, 5 days after the 1 case, 7 days after the 1 case. Type of fracture: transverse fracture in 3 cases, oblique fracture in 2 cases, spiral fracture in 2 cases, green branch fracture in 1 case; fracture site: femur 1/3 in 4 cases, 1/3 in 1 case, 1/3 in 1 case . Fetal position: 3 cases of full breech, single breech 3 cases, foot 2 cases. Mode of delivery: cesarean section in 3 cases, 5 cases of childbirth through the birth canal. 1.2 treatment: all non-surgical treatment. Crede’s method of treatment in 2 cases, that is, excessive flexion of the injured limb in children, stuck in front of the chest and abdomen, the foot resting on the shoulder, with a bandage to the torso and the injured limb together. A case of round cardboard fixed green branches. Bryant’s vertical hanging