目的探讨剖宫产术时出头困难的处理。方法对我院1348例剖宫产中214例出头困难的病例进行分析。结果通过产钳法、阴道上推胎头、压肠板杠杆法、延长子宫切口、内倒转牵引胎足等方法的积极干预,迅速而顺利地取出胎头是剖宫产手术成功的关键。结论手术前对产妇及胎儿情况的正确估计及术中正确的处理是解决剖宫产术时出头困难的关键。 Objective To explore the difficult initial treatment of cesarean section. Methods In our hospital, 1348 cases of cesarean section in 214 cases of early difficulties were analyzed. Results The positive and successful removal of fetal head through forceps-clamp method, vaginal uplift of fetal head, compression of intestinal plate lever, prolongation of uterine incision and inversion of traction foot fetus were the key to success of cesarean section. Conclusions Correct estimation of prenatal maternal and fetal status and proper intraoperative management are the key to solving the early difficulties in cesarean section.