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目的探讨新生儿锁骨骨折的原因及对策。方法分析韶关市粤北人民医院2006年6月至2012年6月48例新生儿锁骨骨折的临床资料,对产房在短期内连续发生锁骨骨折进行根本原因分析法(RCA)分析。结果阴道难产新生儿锁骨骨折的发生率远高于剖宫产。随新生儿体质量增加,骨折发生率也随之增加。临床表现以局部肿胀、骨擦音、双侧锁骨不对称为主。可通过X线摄片确诊。结论采取加强评估、技术培训及心理辅导等护理对策,可有效避免新生儿锁骨骨折的发生。
Objective To investigate the causes and countermeasures of neonatal clavicular fracture. Methods The clinical data of 48 cases of neonatal clavicle fracture from June 2006 to June 2012 in Yuebei People’s Hospital of Shaoguan City were analyzed. The RCA analysis was performed on the continuous occurrence of clavicular fracture in the delivery room in the short term. Results The incidence of neonatal clavicular fracture in vaginal dystocia was much higher than that in cesarean section. As the newborn’s weight increases, the incidence of fractures also increases. Clinical manifestations of local swelling, bone fricative, bilateral asymmetric clavicle-based. Can be confirmed by radiography. Conclusion Nursing measures such as strengthening assessment, technical training and psychological counseling can effectively prevent the occurrence of clavicular fracture in neonates.