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采用回顾性方法就近7年处理的4例驼背孕产妇,结合文献对发病率(1/6230)、妊娠史(均为初产)、并发症(呼衰2/4、肺内感染3/4、心衰3/4、妊高征3/4、悬垂腹2/4、贫血、低血钾各1/4),驼背发生部位(胸段1例、胸腰段1例、腰段2例)及麻醉与管理(全麻3例、局麻1例)等五个方面进行分析研讨。结果:驼背发生部位愈高对孕产妇肺心功能影响愈大,部位愈低对分娩影响愈大。结论:驼背妇女一经妊娠即应列为高危,并应在发生肺心功能失代偿前结束分娩,对肺功能支持的重点应是控制肺内感染和氧疗,进入产褥期应径送ICU监测治疗。
A retrospective study was conducted on 4 cases of camel back mothers who had been treated for the past 7 years. The incidence rates (1/6230), pregnancy history (all primiparous), complications (respiratory failure 2/4, intrapulmonary infection 3/4 , Heart failure 3/4, PIH 3/4, hanging belly 2/4, anemia, hypokalemia each 1/4), humpback occurred in 1 case (thoracic 1, thoracolumbar 1, lumbar 2 ) And anesthesia and management (3 cases of general anesthesia, local anesthesia in 1 case) and other five aspects of analysis and discussion. Results: The higher the humpback occurred, the greater the impact on the pulmonary function of the pregnant women. The lower the location, the greater the impact on childbirth. Conclusions: Humpback women should be classified as high risk once they are pregnant and should terminate their labor before pulmonary heart decompensation. The focus of lung function support should be to control pulmonary infection and oxygen therapy and should be sent to ICU monitoring and treatment during the puerperium .