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目的分析在剖宫产术中出现娩头困难的具体原因以及如何及时的处理来保证母胎的安全。方法对本院2012年1月~2013年11月出现娩头困难的病例进行回顾性的探讨,总结在此期间的119例娩头困难的原因,统计最常出现的原因等。结果统计记录显示,胎头高浮有52例,所占百分比43.7%;胎头深嵌共有26例,所占百分比21.85%;胎儿过大则有11例,所占百分比9.24%;产妇过于肥胖则有10例,所占百分比8.4%;剖宫产的切口长度不够9例,所占百分比7.56%;麻醉没有到位共有6例,所占百分比5.04%;分娩医师操作问题共有5例,所占百分比4.2%,可见所有原因中以胎头高浮的情况最常见,明显多于其他情况(P<0.05)。结论剖宫产术尽管已经相当成熟,但是仍有胎头娩出困难的情况,通过加强各方合作,术前准备工作充分以及适当的切口可以一定程度降低这种现象的发生率,从而大大提高了母胎的安全率。
Objective To analyze the specific reasons for the difficulty in delivery during cesarean section and how to ensure the safety of the mother’s fetus in time. Methods The hospital from January 2012 to November 2013 cases of headache difficulties were retrospectively reviewed, summarizes the 119 cases of headache difficulties during this period, the most common cause of statistics and so on. The results of statistical records showed that the fetal head floating in 52 cases, the percentage of 43.7%; fetal deep embedding a total of 26 cases, the percentage of 21.85%; fetus is too large there are 11 cases, the percentage of 9.24%; maternal overweight There are 10 cases, the percentage of 8.4%; cesarean incision length not enough 9 cases, the percentage of 7.56%; anesthesia is not in place a total of 6 cases, the percentage of 5.04%; delivery physician operation problems in 5 cases, accounting for 4.2%, showing that all cases of fetal head floating in the most common, significantly more than the other cases (P <0.05). Conclusion Although cesarean section is quite mature, there are still cases of difficult fetal head delivery. By strengthening the cooperation between the parties, adequate preoperative preparation and appropriate incision can reduce the incidence of this phenomenon to a certain extent, thus greatly improving the Maternal safety rate.