病态肥胖女性的剖宫产：3例报告。
Cesarean birth in the morbidly obese woman: a report of 3 cases.
作者信息
Porreco Richard P, Adelberg Amy M, Lindsay L Gregory, Holdt David G
机构信息
Department of Obstetrics, Presbyterian/St. Luke's Medical Center, Rose Medical Center, Denver, USA.
出版信息
J Reprod Med. 2007 Mar;52(3):231-4.
BACKGROUND
Primary and repeat cesarean births are a frequent occurrence among morbidly obese women. Technical difficulties encountered in caring for these patients, coupled with physiologic differences, affect their operative management.
CASES
Three morbidly obese women (190-296 kg, body mass index 56.7-93.6) had cesarean births utilizing a supraumbilical incision and internal retention abdominal wall closures. Alternative anesthetic management was required in 2 patients. Bariatric operative and postoperative equipment was required in each case, and varying thromboprophylaxis strategies were employed.
CONCLUSION
Careful planning along with appropriate specialty consultation is required for a safe and successful cesarean birth in the morbidly obese woman.
背景
初次剖宫产和再次剖宫产在病态肥胖女性中很常见。护理这些患者时遇到的技术困难，再加上生理差异，会影响她们的手术管理。
病例
三名病态肥胖女性（体重190 - 296千克，体重指数56.7 - 93.6）采用脐上切口和腹壁内固定缝合进行剖宫产。两名患者需要采用替代麻醉管理。每个病例都需要肥胖症手术和术后设备，并采用了不同的血栓预防策略。
结论
对于病态肥胖女性进行安全、成功的剖宫产，需要精心规划并进行适当的专科会诊。
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