| 脐带绕颈528例临床分析 |
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| 引用本文： | 陈爱兰,史文婷,李丽娇.脐带绕颈528例临床分析[J].海南医学院学报,2009,15(7):762-763,766. |
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| 作者姓名： | 陈爱兰 史文婷 李丽娇 |
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| 作者单位： | 1. 湛江市第二人民医院妇产科,广东,湛江,524003
2. 湛江市妇幼保健院妇产科,广东,湛江,524038 |
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| 基金项目： | 海南医学院科研基金资助学报项目 |
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| 摘 要： | 目的：探讨脐带绕颈对围产儿的影响。方法：选择脐带绕颈528例的临床资料进行回顾性分析。结果：本组脐带绕颈528例，发生胎儿窘迫93例（17．61％），新生儿窒息40例（7．58％）；分娩方式：阴道顺产401例（75．95％）；剖宫产术117例（22．16％）；阴道助产10例（1．89％）。结论：脐带绕颈周数越多，胎儿窘迫、新生儿窒息发生机率越大。对于脐带绕颈2周以上者，新生儿窒息发生率高，分娩方式宜选择剖宫产术。
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| 关 键 词： | 脐带绕颈 胎儿窘迫 新生儿窒息 分娩 |
Clinical analysis of 528 cases with cord round neck |
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| CHEN Ai-lan,SHI Wen-ring,LI Li-jiao.Clinical analysis of 528 cases with cord round neck[J].Journal of Hainan Medical College,2009,15(7):762-763,766. |
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| Authors: | CHEN Ai-lan SHI Wen-ring LI Li-jiao |
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| Institution: | CHEN Ai-lan, SHI Wen-ting, LI Li-jiao ( 1 Department of Gynecology and Obstetrics, The 2nd People＇s Hospital in Zhanjiang Zhanjiang 524003 ; 2 De- partment of Gynecology and Obstetrics, Maternal and Children Hospital in Zhanjiang Zhanjiang 524038, China) |
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| Abstract: | Objective:To explore the influence of cord around neck on perinatals.Methods:528 cases with cord around neck were analyzed retrospectively.Results:There were 93 cases with prenatal fetal distress(17.61%)and 40 cases with asphyxia(7.58%).401 cases had normal vaginal delivery(75.95%),117 had cesarean section(22.16%),and 10 had assisted vaginal delivery(1.89%).Conclusion:The more the circles of cord round neck is,the higher the incidence rate of neonatal asphyxia and fetal stress are.For newborns with cord round neck more than 2 weeks,the incidence of asphyxia is high and the cesarean section should be the best choice. |
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| Keywords: | Cord around neck Fetal distress Newborn asphyxia Delivery |
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