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一组263例头位分娩中,难产63例(占20.1%),原因依次为胎头位置异常(20例)、头盆不称和骨盆畸形(各16例)以及产力异常(1例)。本组围产儿中因头位难产而致死者5例(死产2例,r新生儿死亡3例)。有鉴于正确处理头位难产是降低围产儿死亡率的关键,作者在讨论头位难产各种处理方法利弊的基础上,强调应很据引起原因的不同而选择不同的方法予以适当处理,并推荐以产程图作为处理头位难产的重要依据。
A group of 263 cases of first delivery, 63 cases of dystocia (20.1%), followed by fetal head position abnormalities (20 cases), head basin anomalies and pelvic deformities (16 cases), and abnormalities of labor (1 case) . In this group of perinatal causes of head dystocia caused by 5 cases (2 cases of stillbirth, r neonatal death in 3 cases). Given that the correct treatment of head-position dystocia is the key to reducing perinatal mortality, on the basis of discussing the advantages and disadvantages of various head-dwelling methods of treatment, the author emphasizes that different methods should be chosen according to different reasons and recommended Production plans as an important basis for the treatment of head dystocia.