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本文分析了我院自1990年1月～2000年1月10年间的巨大胎儿132例,发生率为2.3%。第1胎巨大胎儿的发生率有逐年增高的趋势。巨大胎儿中,胎方位异常,手术助产,产后出血和肩难产等合并症的发生率明显增高。通过对本组病例宫高、腹围的观察,发现以宫高+腹围≥140cm作为产前诊断巨大胎儿的指标,符合率可达57.3%。在处理上,可适当放宽剖腹产指征,并做好产后出血的防治工作。
This article analyzes 132 cases of huge fetuses in our hospital from January 1990 to January 2000, the incidence was 2.3%. The incidence of first-born fetus has a trend of increasing year by year. Huge fetus, fetal position anomalies, surgical midwifery, postpartum hemorrhage and shoulder dystocia complications such as the incidence was significantly higher. Through the observation of this group of patients with high uterine circumference and abdominal circumference, we found that the uterine height + abdominal circumference≥140cm was used as an index for prenatal diagnosis of macrosomia. The coincidence rate was 57.3%. In dealing with, may be appropriate to ease the indications for caesarean section, and prevention and treatment of postpartum hemorrhage.