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羊水过少症中,围产儿死亡率及剖宫产率都显著增高,其原因除胎盘功能减退及胎儿畸形外,子宫肌壁压迫胎盘和脐带所致供血障碍及胎儿缺氧是重要因索,这在产时尤为明显,致使一般宫内复苏措施难以奏效。我们自1986年7月开始对羊水过少症进行了羊膜腔内输液的疗效对比观察,初步取得了良好效果,现将应用方法及结果报道如下。资料与方法一、病例选择与诊断标准凡住院已临产的足月及过期妊娠产妇,经B型超声检查证实最大羊膜囊暗区≤2cm,或破膜时羊水量不足100ml者,诊断为羊水过少症。随机分为两组,进行羊膜腔输液治疗者24例为输液组,另37例未经输液治疗为对照组,两组一般临床资料见表1。
In oligohydramnios, perinatal mortality and cesarean section rate were significantly increased, in addition to placental dysfunction and fetal malformations, the reason, the uterine muscle wall pressure placenta and umbilical cord caused by blood supply disorders and fetal hypoxia is an important factor, This is especially noticeable at birth, resulting in a general intrauterine recovery that is difficult to work with. We started from July 1986 on the amniotic fluid disease in amniotic fluid contrast efficacy of the initial observation, and achieved good results, now the application methods and results reported below. Materials and methods First, the case selection and diagnostic criteria Where the hospitalized women have full-term and expired pregnancy, confirmed by B-mode ultrasound maximum amniotic membrane dark area ≤ 2cm, or rupture of amniotic fluid less than 100ml were diagnosed with amniotic fluid Less severe. Randomly divided into two groups, 24 cases of amniotic fluid infusion treatment for the infusion group, the other 37 cases without infusion treatment for the control group, the two groups of general clinical data in Table 1.