CAJ | 학술논문

目的探讨肩难产的高危因素,尽量避免肩难产对新生儿及母体的损伤,有效降低医疗事故纠纷的发生.方法回顾分析我院5年来发生的肩难产5例,比较其发生的高危因素和并发症.结果巨大儿、相对性头盆不称、宫缩乏力是发生肩难产的高危因素,并发症多为臂丛神经损伤、新生儿颅内出血、缺血缺氧行脑病、新生儿重度窒息、骨折等.母体发生产后大出血的几率大.结论巨大儿、相对性头盆不称、宫缩乏力是肩难产的高危因素,早期预测、识别、充分告知孕妇和家属风险,对高风险者及早行剖宫产和正确处理肩难产对母儿预后至关重要.
목적탐토견난산적고위인소,진량피면견난산대신생인급모체적손상,유효강저의료사고규분적발생.방법회고분석아원5년래발생적견난산5례,비교기발생적고위인소화병발증.결과거대인、상대성두분불칭、궁축핍력시발생견난산적고위인소,병발증다위비총신경손상、신생인로내출혈、결혈결양행뇌병、신생인중도질식、골절등.모체발생산후대출혈적궤솔대.결론거대인、상대성두분불칭、궁축핍력시견난산적고위인소,조기예측、식별、충분고지잉부화가속풍험,대고풍험자급조행부궁산화정학처리견난산대모인예후지관중요.
Objective To investigate the risk factors for shoulder dystocia, avoid shoulder dystocia on neonatal and maternal injury, effectively reduce the occurrence of medical accident disputes. Method The review analyzes my courtyard 5 years occurred in 5 cases of shoulder dystocia, compared the risk factors and complications. Results Of macrosomia, relative cephalopelvic disproportion, uterine atony is the occurrence of shoulder dystocia risk factors, complications for brachial plexus injury, intracranial hemorrhage of newborn hypoxia ischemia encephalopathy, line, newborn severe asphyxia, fracture. Maternal hair production after hemorrhage risk. Conclusion Macrosomia, relative cephalopelvic disproportion, uterine atony is shoulder dystocia risk factors, early prediction, identification, fully informed of pregnant women and family risk, high risk and early cesarean and correct treatment of shoulder dystocia on maternal and perinatal prognosis in patients with essential.