胎头高直后位的产程特点与误诊原因分析  

Analysis of Birth Process Characteristic and Misdiagnosis Causes of Fetal Head Sincipitoposterior Position

作　　者：尹春艳 

机构地区：[1]广东省一七七医院产科,广州510317

出　　处：《中国误诊学杂志》2004年第4期517-519,共3页Chinese Journal of Misdiagnostics

摘　　要：目的 :探讨胎头高直后位的产程特点与误诊原因 ,加强对此类头位难产的重视 ,减少误诊及母婴并发症的发生。方法 :回顾性分析 134例胎头高直后位产妇分娩资料。结果 :胎头不入盆、产力异常、产程延长或停滞、胎膜早破为高直后位的主要产程特点 ;以枕后位进行试产和作为剖宫产的手术指征 ,为高直后位的主要误诊原因。结论 :重视临产前的检查和临产后的早期确诊 ,掌握此类头位难产的产程特征 ,正确选择分娩方式是减少误诊和母婴并发症的有效措施。Objective:To explore the birth process characteristic and misdiagnosis causes of fetal head sincipitoposterior position,and lessen the incidence of misdiagnosis and mother and infant complications.Methods:Clinical data of 134 parturient labor cases of fetal head sincipitoposterior position was analyzed retrospectively.Results:The main birth process characteristic included nonengagement of fetal head, abnormality of force of labor, prolonged or stagnation labor and premature rupture of fetal membrane; thinking of occipitoposterior position as the operation indication of labor test and cesarean section was the main misdiagnosis causes of sincipitoposterior position.Conclusions:Paying attention to prenatal examination and early diagnosis, learning the birth process characteristic of this kind of head presentation dystocia and the choose of the right labor mode are the effective measures to decrease the incidence of misdiagnosis and mother and infant complications.

关 键 词：产式 难产/诊断 误诊 分娩发作 

分 类 号：R714.44[医药卫生—妇产科学]