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本文通过311例头位难产的临床分析,对在高原缺氧、低气压和干寒等自然环境下,头位难产的有关因素及处理原则做一初步探讨。临床资料一、发生率及原因分析 1984.7～1985.6,我院分娩总数1254例,其中单胎头位足月分娩1012例,头位难产311例,占分娩总数的24.80％,占头位分娩的30.73％。其难产发生原因见表1。表1 311例头位难产的原因二、产程观察本组病例均以产程图进行产程监护。去掉记录不详及严重骨盆狭窄施剖宫产者外,共277例,详见表2。
Based on the clinical analysis of 311 cases of head-dwelling labor, this paper makes a preliminary study on the related factors and treatment principles of head-position dystocia in the natural environment of hypoxia, depression and dry and cold conditions in the plateau. Clinical data First, the incidence and cause analysis 1984.7 ~ 1985.6, 1254 cases of total delivery in our hospital, of which single-head position full-term delivery of 1012 cases, the first position of 311 cases of dystocia, accounting for 24.80% of total delivery, accounting for head delivery of 30.73 %. The causes of dystocia appear in Table 1. Table 1 311 cases of head-dystocia causes two, labor observed in this group of patients with labor plans for labor control. A total of 277 cases were excluded except those with unknown recurrent cesarean section and severe pelvic stenosis. See Table 2 for details.