论文部分内容阅读
1990年以来,我院施行侧入式快速分离法腹膜外剖宫产203例,占剖宫产总数(287例)的70.73％,且有逐年增加的趋势。 1.资料分析:年龄18～40岁,以24～28岁为最多,初产妇占多数。均适合子宫下段剖宫产者,共中头盆不称79例、胎儿宫内窘迫45例、过期妊娠并滞产25例、骨盆狭窄20例、臀位16例、妊娠高血压综合征9例、脐带脱垂和再次剖宫产各3例、前置胎盘2例、羊水过少1例。本组中,评分9～10分者172例(84.7％),6～8分者28例(13.79％),≤5分者3例。无1例死亡。本组除3例脐脱、4例宫内窘迫、5例难产病例急症手术用局麻或氯胺酮麻醉外,其余均为硬膜外麻醉。手术时间为26～90分钟,166例在60分钟内完成,从切皮到胎儿娩出
Since 1990, 203 cases of extraperitoneal cesarean section by lateral flaring separation method have been performed in our hospital, accounting for 70.73% of the total number of cesarean section (287 cases), with a trend of increasing year by year. 1. Data Analysis: The age of 18 to 40 years old, to 24 to 28 years of age as the largest number of primipara. Are suitable for cesarean section of the lower uterine segment, a total of 79 cases were not in the first basin, fetal distress in 45 cases, 25 cases of prolonged pregnancy and prolonged pregnancy, 20 cases of pelvic stenosis, breech 16 cases, 9 cases of pregnancy-induced hypertension syndrome , Umbilical cord prolapse and cesarean section again in 3 cases, 2 cases of placenta previa, oligohydramnios in 1 case. In this group, 172 patients (84.7%) scored 9 to 10 points, 28 patients (6 to 8 points) (13.79%), 3 patients ≤ 5 points. No one died. In addition to 3 cases of umbilical off in this group, 4 cases of intrauterine distress, 5 cases of dystocia patients with acute or local anesthesia with ketamine anesthesia, the rest are epidural anesthesia. Surgery time is 26 to 90 minutes, 166 cases completed within 60 minutes, from the skin to the fetus delivered