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Kielland产钳(克郎)是国际公认的理想产钳,在西欧各国已被广泛应用,但我国用得较少。笔者从1983年3月～1986年9月用Kielland产钳助产65例,效果良好,现介绍如下。 一、病例分析 65例全为初产妇。胎儿宫内窘迫43例、子宫收缩乏力21例、会阴烧伤瘢痕1例。高位产钳术2例、中位14例、低位49例。左枕前位10例、右枕前位5例、左枕横位13例、右枕横位15例、左枕后位1例、右枕后位11例、正枕前位5例、正枕后位5例。3例宫口开8cm、3例宫口近全开、其余病例宫口均已开全。
Kielland forceps (Kronos) is an internationally recognized ideal forceps, which has been widely used in various countries in Western Europe, but less used in our country. The author from March 1983 to September 1986 with Kielland forceps midwifery 65 cases, the effect is good, are presented below. First, the case analysis of 65 cases of all primipara. 43 cases of fetal distress, uterine atony in 21 cases, 1 case of perineal burn scar. 2 cases of high forceps, the median 14 cases, 49 cases of low. Left anterior occipital in 10 cases, right occipital anterior in 5 cases, left occipital transverse in 13 cases, right occipital transverse in 15 cases, left posterior in 1 case, right posterior in 11 cases, anterior posterior in 5 cases, positive Occipital position in 5 cases. 3 cases of cervix open 8cm, 3 cases of cervix nearly fully open, the remaining cases of cervix have been opened.