论文部分内容阅读
在处理分娩时,根据产程的进展,或遇到胎儿有窘迫情况,常不得不积极协助迅速结束分娩。现今急速结束分娩的方法有剖腹产、产钳术、和吸引器。剖肤产、产钳、吸引器分娩各有优缺点,当然要根据病情选择。由于麻醉、抗生素的进步,最近对剖腹产的适应症,有扩大的趋势。作为分娩时的产科手术,施引产钳及吸引器的频度也有所增加。关于产钳、吸引器分娩的优劣虽争致不一,但近年来由于产钳分娩医疗纠纷较多,对产钳术采取回避态度,从简易和安全出发有多用吸引器分娩的倾向。本文对1972～1976年五年中吸引器分娩进行统计对其适应症,使用方法,损伤,缺点,注意事项等,加以探讨。一、吸引器分娩的要点和适应症 (一)要点:1)无头盆不称,或极轻度头盆不称;2)宫口开全或近开全,3)成熟儿通过产道不致发生明显的障碍,4)儿头已固定于骨盆内,比适用产钳的位置尚低;5)胎头不是仰伸位,6)无过大的
When dealing with childbirth, they often have to actively assist in the prompt termination of childbirth according to the progress of labor or the distress of the fetus. Today’s rapid end of delivery methods are caesarean section, forceps, and suction device. Cutaneous production, forceps, aspirator delivery have their own advantages and disadvantages, of course, according to the condition of choice. Due to anesthesia, the progress of antibiotics, the recent indications for caesarean section, there is an increasing trend. The frequency of obstetric forceps and suction as an obstetric procedure during childbirth has also increased. On the production forceps, aspirator delivery despite the varying strengths and weaknesses, but in recent years due to obstetric forceps delivery medical disputes more, to avoid the forceps approach, starting from the simple and safe with suction tendon childbirth. In this paper, the indications, methods of use, injuries, shortcomings, precautions and so on were discussed on the statistics of aspirator delivery during the five years from 1972 to 1976. First, the main points of suction and childbirth and indications (a) points: 1) no headless basin, or very mild head basin is not known; 2) cervix open or close the whole, 3) mature children through the birth canal does not cause 4) the child’s head has been fixed in the pelvis, the position is lower than the applicable forceps; 5) the fetal head is not supine position, 6) no excessive