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忽略性横位是产科的一个重要问题,它严重威胁着产妇的生命。此时胎儿多已死亡,如何处理得当,保证产妇的生命安全,使产妇减少不必要的痛苦及经济负担,有着重要意义。近年来,我们在临床实践中逐步体会到:忽略性横位,胎儿已死亡,羊水流尽,子宫紧裹胎体,不能做内倒转,可进行除脏及断头术结束分娩。未出现子宫破裂及其他副损伤,使产妇免除了开腹手术,效果满意。资料分析一、发生率:我院从1970年1月11日~1980年12月3日住院分娩总数为4419名,其中横位72例,占1.63%;忽略性横位30例,占0.68%。
Neglect of sexual horizontal obstetrics is an important issue, it is a serious threat to maternal life. At this point the fetus has died, how to handle properly, to ensure the safety of mothers, maternal reduce unnecessary suffering and financial burden, of great significance. In recent years, we gradually realized in clinical practice: ignore the transverse position, the fetus has died, amniotic fluid flow, the uterus tightly wrapped carcass, can not do the inversion, can be carried out in addition to dirty and decapitated end of childbirth. No uterine rupture and other minor injuries were found, which relieved the expectant mothers of laparotomy. Data analysis First, the incidence rate: Our hospital from January 11, 1970 ~ December 3, 1980 a total of 4419 hospital deliveries, of which 72 cases horizontal, accounting for 1.63%; Neglect horizontal in 30 cases, accounting for 0.68% .