中国实用妇科与产科杂志

中国实用妇科与产科杂志 ›› 2022, Vol. 38 ›› Issue (8): 795-798.DOI: 10.19538/j.fk2022080108

• 专题笔谈 • 上一篇    下一篇

肩难产和臂丛神经损伤的早期识别和防治

  

  1. 西安交通大学第一附属医院妇产科，陕西 西安 710061

  • 出版日期:2022-08-02 发布日期:2022-08-02
  • 通讯作者: 李雪兰
  • 基金资助:
    陕西省国际科技合作项目（2022KW-22）

Early identification，prevention and treatment of shoulder dystocia and brachial plexus injury.

  1. Department of Obstetrics and Gynecology，the First Affiliated Hospital of Xi'an Jiaotong University，Xi'an 710061，China
  • Online:2022-08-02 Published:2022-08-02

摘要： 肩难产是新生儿臂丛神经损伤主要原因，难以预测，后果严重，预防和正确处理十分重要。产前全面评估、充分准备；产时早期识别，一旦发生，建立快速反应团队，通过松解嵌顿的前肩、缩小胎儿双肩径、增大骨盆径线，尽早娩出，以减少母儿不良结局。

关键词: 肩难产, 臂丛神经损伤, 早期识别, 防治

Abstract: Shoulder dystocia is the main cause of neonatal brachial plexus injury，which is difficult to predict and often leads to serious maternal and fetal complications.Prevention and correct treatment are very important.It is suggested to make a comprehensive evaluation and preparation and to identify early.Once it occurs，it's necessary to quickly establish a rescue team and deliver as soon as possible by loosening the incarcerated front shoulder，reducing the fetal shoulder diameter and increasing the pelvic diameter，so as to reduce the adverse outcome of mother and child.

Key words: shoulder dystocia, brachial plexus injury, early recognition, prevention

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