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我院自1961年8月至1963年7月共遇忽略性横位13例,其中经用断头术者9例。在掌握断头术之适应症基础上,我们均采用骨科用线锯条(长50厘米)代替断头钩,效果良好。一、断头术之适应证:在遇忽略性横位同时有第二产程延长者,常因羊水流尽,胎儿已死或接近死亡,子宫紧贴于胎体,官腔已有感染,故此时不宜作内廻转术,以防子宫破裂。在宫口开全后可在全身麻醉下用线锯条行断头术。
Our hospital from August 1961 to July 1963 encountered a total of 13 cases of transverse transverse alignment, including the use of decapitation in 9 cases. In mastering the indications of decapitation based on the use of orthopedic wire saw (length 50 cm) instead of decapitation hook, the effect is good. First, the indications of decapitation: In case of neglected lateral extension of the second stage of labor, often due to amniotic fluid flow, the fetus is dead or near death, the womb close to the carcass, the official cavity has been infected, so when Not suitable for intracranial surgery to prevent uterine rupture. After opening the cervix in general anesthesia with wire sawing line line decapitation.