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目的探讨分娩性臂丛神经损伤患儿发病的危险因素、诊断、治疗、预后和预防。方法对我院收治的11例分娩性臂丛神经损伤患儿进行回顾性随访及分析。结果11例平均出生体重4035.5 g(3500 g~5500 g),肩难产发生率54.5%(6/11)。所有患儿均于生后1~3 d被发现上肢主动活动障碍。初次接受手术最小年龄为6个月。错过最佳手术时机,患肢功能改善欠佳。结论肩难产、助产不利及巨大儿是分娩性臂丛神经损伤较明显的危险因素。分娩性臂丛神经损伤最好在产后6个月内积极治疗,否则易后遗为致残性分娩性臂丛神经损伤儿。
Objective To investigate the risk factors, diagnosis, treatment, prognosis and prevention of childbirth brachial plexus injury. Methods 11 cases of childbirth brachial plexus injury in our hospital were retrospectively reviewed and analyzed. Results The average birth weight was 4035.5 g (3500 g ~ 5500 g) in 11 cases and 54.5% (6/11) in shoulder dystocia. All children were found 1 to 3 days after birth, active upper limb disorders. The minimum age of initial surgery was 6 months. Missed the best timing of surgery, poor limb function improvement. Conclusions Shoulder dystocia, adverse midwifery and macrosomia are the more obvious risk factors of labor brachial plexus injury. Delivery brachial plexus injury is best in the postpartum 6 months of active treatment, or easy posterior for the disabled childbirth brachial plexus injury.