肩难产38例发生原因、防范及临床处理  

The Cause,Prevention and Clinical Treatment of 38 Cases of Shoulder Dystocia

作　　者：黄秋兰 

机构地区：[1]东莞市清溪医院,广东东莞523660

出　　处：《中外医学研究》2014年第27期114-116,共3页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的:观察肩难产的发生原因、提出防范及临床处理措施。方法:选取2010年3月-2014年3月笔者所在医院接诊的38例肩难产产妇作为研究对象,对其临床资料进行回顾性分析,总结肩难产发生的原因、预防措施和处理方法。结果:38例产妇中,产后出血9例,会阴裂伤者25例,产道血肿4例;新生儿窒息者26例;颅内出血者14例;锁骨骨折3例;臂丛神经受损者2例,无死亡病例。结论:肩难产母婴并发症的发生率较高,及早的识别、果断有效的处理是减少母婴并发症、提高新生儿质量的保障。Objective： To analyze the cause, prevention and clinical treatment experience on 38 cases of shoulder dystocia.Method： 38 cases of shoulder dystocia from March 2010 to March 2014 in our hospital were selected as research object,the clinical data of puerpera were analyzed retrospectively,the cause of shoulder dystocia,precaution and treatment were summarized.Result： There were 9 cases of postpartum hemorrhage,25 cases of perineal laceration,4 cases of birth canal hematoma in the 38 cases of puerpera;there were 26 cases of neonatal asphyxia in the study patients.Intracranial hemorrhages were seen in 14 cases.Clavicular fractures were seen in 3 cases.Brachial plexus nerve was damaged in 2 cases of the study patients.There were no death records in the 38 cases of puerpera.Conclusion： Shoulder dystocia has a high incidence of maternal and infant complications, early identification and effective treatment are the guarantee to reduce infant and maternal complications, improve the quality of newborn.

关 键 词：母婴并发症 肩难产 发生原因 预防措施 

分 类 号：R714.4[医药卫生—妇产科学]