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目的探讨头位难产的临床处理体会。方法回顾性分析我院住院分娩的头位难产产妇的临床资料,总结头位难产的发生原因、临床特点以及分娩方式。结果 119例产妇,持续性枕后位、枕横位导致头位难产的产妇86例,其次为宫缩乏力导致头位难产的产妇15例,产道异常导致头位难产的产妇13例,严重胎头位置异常导致头位难产的产妇5例。最终选择剖宫产的产妇为88例,选择阴道分娩的产妇为31例。结论头位难产的发病率很高,原因比较复杂,其中最主要的致病原因为持续性枕后位、枕横位,处理不当会导致严重的后果发生,需要在分娩过程中进行密切的监测,选择最为合适的分娩方式。
Objective To investigate the clinical treatment of head dystocia. Methods Retrospective analysis of clinical data of the first bit of refractory maternal hospital delivery in our hospital, summarize the causes, clinical features and delivery mode of head dystocia. Results A total of 119 cases of maternal mothers with persistent occiput posterior position and occipital transverse position resulted in 86 cases of head dystocia, followed by 15 cases of uterine inertia due to head dystocia, 13 cases of abnormal maternal vaginal discharge, Abnormal head position lead to head position of labor maternal 5 cases. The final choice of caesarean section of the maternal for 88 cases, choose vaginal delivery of maternal for 31 cases. Conclusion The incidence of head dystocia is very high for a complex reason. The most common cause of this is persistent occipitocele and occipital transverse position. Improper handling can lead to serious consequences and requires close monitoring during childbirth , Choose the most suitable mode of delivery.