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双胎发生胎头交锁者较少见,现将我院所遇到的3例报道如下。一般资料见表1。例1.入院后2小时宫口开全,行会阴侧切臀位助产分娩,当牵引儿头时发生困难,内诊发现第二胎头挤入盆腔与第一胎头发生交锁。立即将第一胎儿行穿颅术,以缩小头围,但再次牵引仍困难。又将第一胎儿行断头术,在较强的产力下,第一胎体与第二胎儿同时娩出。第二胎儿娩出后Apgar评分2分,经抢救无效死亡。随后取出第一胎头,两婴体重分别为2000g
Twins were less common fetal head interlocking, now encountered in our hospital 3 cases are reported as follows. General information in Table 1. Cases 1. 2 hours after admission cervix open the whole line of the perineal incision breech midwifery childbirth, traction difficulties occurred when the child, the second child found the first injection into the pelvis and the first fetal head interlocking. Immediately through the first fetal line skull surgery to reduce the head circumference, but again traction is still difficult. Again the first fetus line decapitation, in the strong productivity, the first carcass and the second fetus delivered at the same time. After the second fetus was delivered Apgar score 2 points, died of rescue invalid. Then remove the first fetal head, two baby weight were 2000g