中国实用妇科与产科杂志

中国实用妇科与产科杂志

• 专题笔谈 • 上一篇    下一篇

脐带脱垂的预防及处理

王志坚，芮塬   

  1. 作者单位：南方医科大学南方医院妇产科，广东 广州 510515
  • 出版日期:2016-12-02 发布日期:2016-12-06

Prevention and management of umbilical cord prolapse.

WANG Zhi-jian，RUI Yuan.   

  1. Department of Obstetrics and Gynecology，Nanfang Hospital，Southern Medical University，Guangzhou 510515，China
  • Online:2016-12-02 Published:2016-12-06

摘要：

脐带脱垂的发生率虽然不高，但这种产科急症与早产、胎儿窘迫、胎死宫内、新生儿窒息、新生儿死亡密切相关，一旦被漏诊或处理不当，就会导致严重的围产儿不良结局。认识脐带脱垂的高危因素并进行积极预防，可有效减少脐带脱垂的发生。一旦发生脐带脱垂，医护的快速反应和团队合作至关重要，减轻脐带压迫措施实施的快慢和终止妊娠时间的早晚是影响新生儿预后的关键。

关键词: 脐带脱垂, 预防, 处理

Abstract:

Abstract：Umbilical cord prolapse （UCP） is an infrequent obstetric emergency that can lead to extremely poor fetal outcomes，such as premature delivery、neonatal asphyxia and newborn death .The key to prevention of UCP is the early identification and the effective treatment of risk factors associated with UCP.Once UCP has occured，the primary management of UCP is funic decompression and immediate delivery，which can reduce perinatal mortality and improve neonatal outcomes.

Key words: umbilical cord prolapse, prevention, management

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