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目的对高海拔地区头位难产的原因进行回顾性分析,探讨处理方法。方法对2008年1—12月发生头位难产189例产妇的临床资料进行回顾性分析。结果难产原因:子宫收缩乏力占51.85%,胎头位置异常占35.44%,巨大胎儿占9.52%,产道异常占2.12%,精神因素占1.01%。结论头位难产时要及时分析难产原因,采取必要的应对措施,根据产妇的身体状况和发生头位难产的原因等综合因素可选择经阴道分娩、产钳术、胎吸术、剖宫产等生产方式,保证母婴安全,将并发症降到最低。
Objective To retrospectively analyze the causes of headpart dislocation in high altitude areas and discuss the treatment methods. Methods A retrospective analysis was performed on the clinical data of 189 pregnant women with first bit of labor during January to December in 2008. Results dystocia causes: uterine atony accounted for 51.85%, abnormal fetal head position accounted for 35.44%, huge fetuses accounted for 9.52%, birth canal abnormalities accounted for 2.12%, mental factors accounted for 1.01%. Conclusion The first step of dystocia to timely analysis of the causes of dystocia, take the necessary countermeasures, according to the maternal physical condition and the reasons for the occurrence of head dystocia and other factors can be combined vaginal delivery, forceps, fetus suction, cesarean section and other production Way to ensure the safety of mother and child, to minimize complications.