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目的讨论剖宫产术中徒手取胎头困难时改用产钳助娩的优势。方法选择3685例剖宫产术中胎头高浮、过度仰伸,其中娩出困难者328例,术中采取徒手娩胎40 s无效,改用产钳助娩。结果 320例一次成功,6例放置两次,2例失败改用牵引胎足娩出,成功率达99%。结论剖宫产术中胎头高浮、位置不正,经徒手胎头娩出困难时果断的应用产钳,是一种安全、有效、简便的方法 ,适合各级医院使用,值得临床推广应用。
Objective To discuss the advantages of using forceps to help deliver a baby when it is difficult to remove the fetal head by cesarean section. Methods 3685 cases of cesarean section in the fetal head floating high, over Yang stretch, of which 328 were delivered difficulties, intraoperative take hand delivery 40 s invalid, use forceps to help delivery. Results A total of 320 cases were successfully treated at one time, 6 cases were placed twice, and 2 cases were replaced with traction foot. The success rate was 99%. Conclusion Cesarean section in the fetal head floating high, the location is not correct, the decidable forceps when the unprotected fetal head was delivered difficult, it is a safe, effective and simple method suitable for all levels of hospitals, it is worthy of clinical promotion and application.