腋窝后位吊带牵引：一种治疗难治性肩难产的技术。
Posterior axilla sling traction: a technique for intractable shoulder dystocia.
作者信息
Cluver C A, Hofmeyr G J
机构信息
From the Department of Obstetrics and Gynecology, Tygerberg Hospital, Cape Town, South Africa; and Effective Care Research Unit, University of the Witwatersrand/Fort Hare and Department of Obstetrics and Gynecology, East London Hospital complex, East London, South Africa.
出版信息
Obstet Gynecol. 2009 Feb;113(2 Pt 2):486-488. doi: 10.1097/AOG.0b013e318190a2d6.
BACKGROUND
We describe a new method for delivery of intractable shoulder dystocia with posterior axilla sling traction.
CASES
Two cases of shoulder dystocia after intrauterine death are described where routine methods of delivery were unsuccessful. In each case, a soft plastic suction catheter was folded in half over the operator's fingertip and digitally inserted around the posterior shoulder, under the axilla, and retrieved with the other hand to create a sling to which traction was applied. The posterior shoulder, followed by the anterior shoulder, was easily delivered.
CONCLUSION
Posterior axilla sling traction may overcome intractable shoulder dystocia and avoid more traumatic procedures in fetal death.
背景
我们描述了一种使用后腋窝吊带牵引处理难治性肩难产的新方法。
病例
描述了两例宫内死亡后发生肩难产的病例，常规分娩方法均未成功。在每例病例中，将一根软质塑料吸引导管在术者指尖上对折，通过手指插入后肩周围、腋窝下方，然后用另一只手将其取出以形成一个吊带，对其施加牵引。后肩随后是前肩很容易就娩出了。
结论
后腋窝吊带牵引可能克服难治性肩难产，并避免在胎儿死亡时采用更具创伤性的操作。
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