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目的:探讨胎儿宫内窘迫的主要原因及治疗方法。方法:回顾性分析2009年3月~2013年3月收治的胎儿宫内窘迫产妇71例临床资料。结果:71例中脐带因素31例,胎盘因素9例,产妇因素19例,羊水过少与巨大儿各3例,胎膜早破1例,不明原因5例;经阴道分娩38例,剖宫产27例,自然分娩6例,阴道助产51例,发现胎儿窘迫到胎儿娩出阴道助产13~45分钟,平均26分钟;剖宫产20~96分钟,平均67分钟;新生儿窒息轻度44例,复苏良好,无并发症;重度窒息26例,死产1例。结论:胎儿宫内窘迫需综合分析明确诊断,对高危产妇应积极预防,对胎儿宫内窘迫对积极处理后症状无改善,短时不能经阴道分娩者,应立即剖宫产,以降低围生儿并发症及病死率。
Objective: To investigate the main causes and treatment of fetal distress. Methods: A retrospective analysis of 71 cases of fetal distress maternal from March 2009 to March 2013 was performed. Results: Among 71 cases, there were 31 cases of umbilical cord factors, 9 cases of placental factors, 19 cases of maternal factors, 3 cases of oligohydramnios and giant macrophages, 1 case of premature rupture of membranes, 5 cases of unknown causes; vaginal delivery 38 cases, cesarean section 27 cases of spontaneous delivery in 6 cases of vaginal delivery in 51 cases and found fetal distress to the fetus delivered vaginal delivery 13 to 45 minutes, an average of 26 minutes; cesarean section 20 to 96 minutes, an average of 67 minutes; mild neonatal asphyxia Forty-four patients had good recovery without complications, 26 with severe asphyxia and 1 with stillbirth. Conclusion: Fetal intrauterine distress needs a comprehensive analysis of a clear diagnosis, high-risk mothers should be actively prevented, no improvement of symptoms of fetal distress after active treatment, short-term vaginal delivery, should immediately cesarean section to reduce perinatal Complications and mortality.