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作者認为产程超过24小时即为滞产。其原因,包括原发性及繼发性子宫乏力(不易确診),基于神經紧張及精神因素的子宫紧張力不协調(較少見),狹窄环(不常見),及头盆比例不称(常見原因)等。对每一病例均須鑒別,其系产程延长但有进步,而能保守治疗者呢?抑系宫縮强烈而产程毫无进步者呢?为此,应严密观察全部产程,給以必要而完善的阴道檢查及×綫骨盆測量。并应请有經驗的專家会診。
The author believes that labor more than 24 hours is delayed. The reasons include primary and secondary uterine atony (not easily diagnosed), uncoordinated (less common) uterine tension based on nervous and psychiatric factors, stenosis (uncommon), and head basin ratio Not known (common causes) and so on. For each case must be identified, the Department of prolonging the production process but there is progress, but can conservative treatment? Inhibition of contractions and there is no progress in the labor process it? To this end, we should closely observe the entire process of production, to improve as necessary Vaginal examination and x-ray pelvic measurement. And should have experienced experts consultation.