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为处理忽略性横位巨大死胎,我们根据临床应用于3例,体会如下; 适应症; 忽略性横位巨大死胎,宫颈开口全或接近开全,无先兆性子宫开裂者。麻醉与术前准备同一般外科、妇科手术。手术步骤:①取截石位,外阴常规消毒,铺无菌巾;②查宫口及嵌顿情况;③上阴道拉钩;④从嵌顿最低点入路先行除脏术。⑤撤去阴道拉钩,在手指指引下用剪刀将脊柱横断,剪断围周软组织,将胎体一分为二。⑥断面用长血管钳钳夹,先娩出下半身,
In order to deal with the huge fetal death of neglected transversal, we according to clinical application in 3 cases, experience as follows; Indications; Negligible hypertrophic horizontal stillbirth, Cervical open full or near open, Without aura of uterine rupture. Anesthesia and preoperative preparation with the general surgery, gynecological surgery. Surgical procedures: ① take lithotomy position, vulva routine disinfection, shop sterile towel; ② check the cervix and incarcerated conditions; ③ on the vagina hook; ④ incarcerated from the lowest point of entry pathology. ⑤ remove the vagina pull hook, under the guidance of the fingers with the scissors to cross the spine, cut off perineal soft tissue, the carcass is divided into two. ⑥ cross section with long vascular forceps clamp, the first delivery of lower body,