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目的探讨剖宫产术中胎头娩出困难的原因和对母婴产生的影响,以及采取的措施。方法对2002~2004年本院所行的剖宫产术中发生的胎头娩出困难病例作回顾性分析。结果原因依次为试产不当致胎头深固最多占86.90%,其次为麻醉欠佳占8.74%以及切口选择不当占4.36%。对母儿造成影响主要为子宫撕裂出血及新生儿窒息。结论适当掌握剖宫产指征,避免不恰当试产发生。术中一旦发生娩胎头困难,则应尽快采取措施协助娩胎,以最大限度减少对母儿的伤害。
Objective To explore the causes of fetal head during cesarean section and its impact on mothers and infants, as well as the measures taken. Methods Retrospective analysis was made on difficult cases of fetal head during cesarean section conducted in our hospital from 2002 to 2004. Results were followed by improper trial production of fetal head deep solid accounted for up to 86.90%, followed by poor anesthesia accounted for 8.74% and incision inappropriate selection accounted for 4.36%. The impact on the mother and child mainly for uterine bleeding and neonatal asphyxia. Conclusions Proper cesarean section indications, to avoid inappropriate trial production. Surgery in the event of difficult delivery of fetal head, you should take measures to facilitate childbirth as soon as possible in order to minimize the harm to the mother and child.