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几年来,我院遇到几十例脐带绕颈孕妇。临床诊断除了注意:1.在临产前的数周内,可听到脐带杂音;2.脐带相对变短、胎头不男下降,出现产程延长等现象外,我们主要使用胎儿颈部压迫法,做为脐绕颈的早期诊断依据,临床使用无1例失败。病例介绍:初产,孕43周,羊水早破,宫缩乏力入院,血压120/90mmHg,宫高34cm,胎心率152—160/分,不规律,有脐带杂音。无宫缩,阴道流黄绿粘稠羊水,量少,宫口开全,骨盆外测各径线均正常。阴道检查
In recent years, our hospital encountered dozens of cases of umbilical cord around the neck pregnant women. Clinical diagnosis in addition to note: 1. In a few weeks before labor, umbilical cord noise can be heard; 2. The umbilical cord is relatively shorter, fetal head decreased male, there is the phenomenon of prolonged labor, we use the fetal neck compression method, As the early diagnosis of umbilical neck around the basis of clinical use without failure. Case description: primiparous, 43 weeks pregnant, premature amniotic fluid, uterine inertia admission, blood pressure 120 / 90mmHg, Palace height 34cm, fetal heart rate 152-160 / points, irregular, umbilical noise. No contractions, vaginal flow of yellow-green viscous amniotic fluid, less volume, open the cervix, the pelvic diameter measured normal. Vaginal examination