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目的探讨剖宫产术中娩头困难的原因及处理方法。方法对我院2009年9月至2011年9月剖宫产术中发生娩头困难的124例病例进行回顾性分析。结果娩头困难的主要原因与胎头高浮或下降过低、麻醉效果不满意、切口选择不正确、术者操作不熟练等因素有关。结论术前充分评估母婴情况,把握好剖宫产的时机,合理的选择切口,正确娴熟的操作技巧,满意的麻醉效果能有效避免娩头困难的发生。
Objective To investigate the causes and treatment of difficult delivery during cesarean section. Methods A retrospective analysis was performed on 124 cases of headache during cesarean section from September 2009 to September 2011 in our hospital. Results The main reason for delivery head difficulties and fetal head floating or falling too low, the anesthetic effect is not satisfied, incision choice is not correct, the surgeon unscrupulous operation and other factors. Conclusion Preoperative assessment of maternal and child conditions, to grasp the timing of cesarean section, a reasonable choice of incision, the correct skill of surgery, satisfactory anesthesia can effectively prevent the occurrence of head difficulties.