Jójárt G, Zubek L, Tóth G
Ceglédi Toldy Ferenc Kórház, Csecsemö- és Gyermekosztály.
Orv Hetil. 1991 Dec 1;132(48):2655-7.
The authors have found 244 clavicle fractures during 4131 vaginal delivery (5.91%). Both clavicles of three newborns have fractured. The incidence of fracture had relation to weight of newborns, to weakness of pains and to vacuum extraction. The Apgar score of the newborns with fractured clavicle was not less, than one of newborns with unbroken clavicle. None of 704 newborns from cesarean section, and none of 52 newborns, who was born out of the hospital had fracture of the clavicle. The cause of fracture is the violent hurry of delivery, the drawing of the head before birth of shoulders. One of 244 injured newborns had permanent brachial plexus palsy. Late complication was not found. Between the injured newborns was more frequent the jaundice requiring phototherapy.
作者在4131例阴道分娩中发现244例锁骨骨折(5.91%)。3例新生儿双侧锁骨均发生骨折。骨折发生率与新生儿体重、疼痛无力及真空吸引有关。锁骨骨折新生儿的阿氏评分不低于未骨折新生儿。704例剖宫产新生儿及52例院外出生的新生儿均无锁骨骨折。骨折原因是分娩时用力过猛、肩部娩出前牵拉头部。244例受伤新生儿中有1例发生永久性臂丛神经麻痹。未发现晚期并发症。受伤新生儿中需要光疗的黄疸更为常见。