Rális Z A
Arch Dis Child. 1975 Jan;50(1):4-13. doi: 10.1136/adc.50.1.4.
Dissection and histological examination was made of the muscles of 86 babies who died after breech delivery, and of 38 babies who died after vertex presentation. A control group of 50 surviving breech-delivered babies was examined clinically and the results compared. It was concluded that the most common type of birth trauma to a baby born by breech delivery is injury to muscles and soft tissues of the back and lower extremities, which is often extensive. In some severly injured babies histological examination of organs revels signs of crush syndrome and disseminated intravascular coagulation. It is suggested that the extensive muscle trauma forms the background of these fatal conditions.
对86例臀位分娩后死亡的婴儿以及38例头位分娩后死亡的婴儿的肌肉进行了解剖和组织学检查。对50例存活的臀位分娩婴儿组成的对照组进行了临床检查，并比较了结果。得出的结论是，臀位分娩出生的婴儿最常见的出生创伤类型是背部和下肢肌肉及软组织损伤，且这种损伤往往范围广泛。在一些严重受伤的婴儿中，器官的组织学检查显示有挤压综合征和弥散性血管内凝血的迹象。有人认为，广泛的肌肉创伤是这些致命情况的基础。
