脐带异常在产程中严重时可造成胎儿宫内窘迫,甚至导致围产儿死亡。为降低围产儿死亡率,必须及时准确诊治脐带异常所致胎儿窘迫。我院1994年内90例脐带因素行手术助产,占难产手术的51.11％。临床上我们采取听诊胎心、B超与胎儿电子监护仪监测三者结合诊断脐带异常引起的胎儿宫内窘迫,并及时手术终止妊娠,明显降低了围产儿死亡率。 Abnormal umbilical cord during labor can cause fetal distress, and even lead to perinatal death. In order to reduce perinatal mortality, timely and accurate diagnosis and treatment of fetal distress caused by abnormal umbilical cord. 90 cases of umbilical cord factors in our hospital during 1994 were midwifery, accounting for 51.11% of the total number of dystocia. Clinically, we take auscultation of fetal heart rate, B-ultrasound and fetal monitoring of the combination of three monitoring of umbilical cord abnormalities caused by fetal distress, and timely termination of pregnancy, significantly reducing perinatal mortality.