| 羊水过少245例临床分析 |
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| 引用本文： | 胡小青 张小玲 等. 羊水过少245例临床分析[J]. 江西医学院学报, 2001, 41(3): 75-77 |
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| 作者姓名： | 胡小青 张小玲 等 |
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| 作者单位： | [1]江西省妇幼保健院产科，江西南昌330006 [2]江西省南昌市东湖区保健所，江西南昌330006 |
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| 摘 要： | 目的：探讨羊水过少对围产儿预后的影响。方法：回顾分析羊水过少245例。结果：羊水过少发生率2.37%。羊水过少高发于延期妊娠及过期妊娠占62%（152/245）,其中脐带绕颈，过期妊娠，妊娠高血压综合症是其常见并发症；羊水量愈少，胎儿宫内窘迫及新生儿窒息率愈高，B超产前诊断羊水过少的符合率为96.7%。提示B超可作为及早诊断羊水过少的可靠方法。结论：对羊水过少者积极处理，放宽剖宫产指征，能显著改善围产儿预后。
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| 关 键 词： | 羊水过少 高危妊娠 围产儿 预后 产前监护 宫内窘迫 |
| 文章编号： | 1000-2294(2001)03-0075-03 |
| 修稿时间： | 2000-12-08 |
Clinical Studies in 245 Cases with Oligohydramnios |
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| HU Xiao -qing ,ZHANG Xiao -ling ,WU Rong -zhen. Clinical Studies in 245 Cases with Oligohydramnios[J]. Acta Academiae Medicinae Jiangxi, 2001, 41(3): 75-77 |
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| Authors: | HU Xiao -qing ZHANG Xiao -ling WU Rong -zhen |
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| Affiliation: | HU Xiao -qing 1,ZHANG Xiao -ling 2,WU Rong -zhen 1 |
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| Abstract: | Objective: To investigate the effect of oligohydramnios on prenatal outcome. Method: 245 patients with oligohydramnios were studied retrospectively. Results: The incidence of oligohydramnios was 2.37%. Oligohydramnios occurred mostly in patients with prolonged pregnancy,accounting for(62%)152/245,and was often complicated with umbilical cord tangle, prolonged pregnancy and pregnancy induced hypertension (PIH). The less the amniotis fluid, the higher rate of fetal distress and asphyxia neonatorum. Ultrasound diagnosed correctly 96.7% cases with oligohydramnios prenatally, indicating that ultrasound is a reliable method to early diagnose oligohydramnios.Conclusions: Taking active measure and increasing cesarean section can improve the perinatal prognosis of oligohydramnios significantly. |
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| Keywords: | oligohydramnios high risk pregnancy perinatal prognosis |
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