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我院1963年1月至1982年12月,共处理了妊娠合并驼背(脊柱后凸)11例。现将驼背对妊娠分娩的影响及驼背孕妇处理和预后分析如下。临床资料一、发病率:我院同期共有111,216次分娩,妊娠合并驼背者11例,发病率为1∶10110.低于文献报道的1∶2394[1]。二、年龄和胎次:年龄最小者26岁,最大者40岁.第一胎8例,其中高龄初产妇2例。三、身高及体重:大部分身材矮小,身高<1.45m,其中1例身高仅1.22m。体重均偏低,孕足月体重37～49kg。四、驼背病因及病程:大部分主诉外伤或结核,而外伤者经追问病史,多仍起因于结核,其中1例发病超过25年之久。驼背部位:胸椎9例,其中4例心肺功能严重不全,3例合并驼背性心脏病。腰椎1例,有轻度覆盖骨盆。另1例不详。就2例作了肺功能测定,1例肺活量1000ml,于术后第九天心力衰竭、酸中毒死亡。另1例肺活量710ml,为重度限制
Our hospital from January 1963 to December 1982, a total of 11 cases of pregnancy complicated with hump (kyphosis). Humpback now on the impact of pregnancy and delivery and humpback pregnant women treatment and prognosis analysis is as follows. Clinical data First, the incidence rate: a total of 111,216 deliveries in our hospital over the same period, 11 cases of pregnancy with humpback, the incidence was 1:101 10, lower than the reported 1: 2339 [1]. Second, the age and parity: the youngest 26 years old, the largest of 40. The first child in 8 cases, of which 2 cases of early primipara. Third, height and weight: most of the short stature, height <1.45m, of which only 1 case height 1.22m. Weight are low, full-term pregnancy weight 37 ~ 49kg. Fourth, humpback etiology and course of disease: Most of the main complaint of trauma or tuberculosis, and trauma patients by history, mostly due to tuberculosis, of which 1 case of onset more than 25 years. Hump back parts: thoracic 9 cases, 4 cases of severe cardiopulmonary insufficiency, 3 cases with humpback heart disease. 1 case of lumbar spine, slightly covering the pelvis. Another case is unknown. In 2 cases made pulmonary function test, 1 case of vital capacity of 1000ml, 9th day after heart failure, acidosis death. Another case of vital capacity of 710ml, severe restriction