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困难产钳术对母儿危害极大,现对我院30年来钳产手术失败的8例进行临床分析,以吸取教训,提高围产医学质量。 1 临床资料 1.1 一般资料孕妇年龄23～40岁,平均28岁。初产妇5例,经产妇3例,其中1例为第八胎。孕周35～41~(+3)周,其中41周以上4例。产程中有5例出现活跃期停滞、延缓或延长,2例第二产程延长。钳产指征为胎儿窘迫5例,重度妊娠高血压综合征子痫3例。术前检查:先露为头,S~(-1)～S~(+2),儿头均有产瘤,颅骨重叠。
Difficult pliersile forceps on the great harm to the mother and child, now my hospital 30 years of pliersurgical failure of the clinical analysis of 8 cases to learn lessons to improve the quality of perinatal medicine. 1 Clinical data 1.1 General information Pregnant women aged 23 to 40 years, mean 28 years. 5 cases of primipara, maternal 3 cases, of which 1 case for the eighth child. Pregnancy 35 ~ 41 ~ (+3) weeks, of which 41 cases over 4 cases. In the labor process, there are 5 cases of active stagnation, delay or prolongation, 2 cases of extension of the second stage of labor. Parotid indications for fetal distress in 5 cases, severe pregnancy-induced hypertension syndrome eclampsia in 3 cases. Preoperative examination: first dew for the head, S ~ (-1) ~ S ~ (+2), children have tumor, skull overlap.