臀位分娩时的股骨骨折。
Femur fracture during abdominal breech delivery.
作者信息
Matsubara Shigeki, Izumi Akio, Nagai Takashi, Kikkawa Ichiro, Suzuki Mitsuaki
机构信息
Department of Obstetrics and Gynecology, Jichi Medical University, 3311-1 Shimotsuke, Tochigi 329-0498, Japan.
出版信息
Arch Gynecol Obstet. 2008 Aug;278(2):195-7. doi: 10.1007/s00404-008-0655-y. Epub 2008 Apr 22.
BACKGROUND
While vaginal breech delivery, although rare, can cause femur fracture, abdominal breech delivery is not expected to cause it.
CASE
A 2,490-g female infant was delivered at term by elective cesarean section for breech presentation. She sustained a fracture of the femur shaft. A simple splinting led to a complete healing of the fracture without sequelae.
CONCLUSION
Although abdominal breech delivery reduces the risk of birth trauma, we must be aware that femur fracture can occur regardless of the mode of delivery.
背景
虽然阴道臀位分娩虽罕见，但可导致股骨骨折，而预期剖宫产臀位分娩不会导致这种情况。
病例
一名体重2490克的女婴因臀位经择期剖宫产足月分娩。她发生了股骨干骨折。简单的夹板固定使骨折完全愈合且无后遗症。
结论
虽然剖宫产臀位分娩可降低产伤风险，但我们必须意识到，无论分娩方式如何，股骨骨折都可能发生。
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