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足月临近时臀先露外倒转术的宫缩抑制(作者译)

[Tocolysis for external version of breech presentation close to term (authors transl)].

作者信息

Müller-Holve W, Saling E

出版信息

Z Geburtshilfe Perinatol. 1975 Feb;179(1):24-9.

PMID:1154815
Abstract

The external version of breech presentation into vertex presentation with tocolysis near term is now the best method to avoid the disadvantages of a breech presentation for mother and child. In 30 out of 37 cases external version using Partusisten was possible. 26 patients with previous breech presentation were, after version, delivered of a healthy child. Except for one transitory slight hemorrhage there were no incidents. This method should be carried out only in a department having facilities for cardiotocography and emergency Caesarian section. It appears that a cause of failur of the external version with tocolysis near term is the breech presentation with extended legs.

摘要

临近足月时采用宫缩抑制剂将臀位转成头位的外倒转术,是目前避免臀位给母婴带来不利影响的最佳方法。37例中有30例使用普贝生进行外倒转术成功。26例既往有臀位史的患者,倒转术后均顺利分娩出健康婴儿。除1例出现短暂轻微出血外,无其他意外情况。此方法应仅在具备胎心监护及急诊剖宫产设施的科室开展。临近足月使用宫缩抑制剂行外倒转术失败的一个原因似乎是腿伸直的臀位。

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