摘要
目的:研究显性脐带脱垂的临床表现并探讨脐带脱垂的有关因素、诊断、处理及与围产儿预后的关系。方法:回顾分析2003年1月—2005年12月13例显性脐带脱垂病例的临床资料。结果:13例显性脐带脱垂病例中,臀牵引者3例,新生儿全部存活;立即在产房内剖宫产者7例,新生儿存活5例,存活率71.4%;胎头吸引助产2例,新生儿均死亡,另1例确定胎心消失后行头皮牵引术。结论:显性脐带脱垂与胎位、脐带长度因素相关,围产儿的预后与分娩方式、诊断距分娩时间相关,及时发现、抢救得力,大多数围产儿的预后是好的。
Objective：To explore the clinical signs relevent factors, diagnosis, treatment of umbilical cord prolapse, and study the relationship between it and neonatal prognosis. Methods： Retrospective analysis was used to study 13 cases with Prolapse of umbilical cord from January 2003 to December 2005. Results： Among these 13 Cases , 3 were delivered by breech draw, all babies were survival; 7 cases were delivered immediately by cesarean section in delivery room , 4 babies were survival , survival rate was 71.4% ; 3 cases were delivered by vacuum extractor , all babies were died. l case were delivered by vacuum dandruff draw after confirming that fetal heart beat voice had disappeared. Conclusion：Prolapse of umbilical cord is associated with fetal position and umbilical cord length, prognosis of neonatal were associated with modes of delivery and time from diagnosis to delivery, immediate diagnosis and effective rescue is beneficial to babies.
出处
《中国临床医学》
北大核心
2008年第1期111-112,共2页
Chinese Journal of Clinical Medicine
关键词
显性脐带脱垂
有关因素
分娩方式
新生儿预后
Prolapse of umbilical cord
Relevent factors
Modes of delivery
Prognosis of neonatal
