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产科急症:肩难产和产后出血

Obstetric Emergencies: Shoulder Dystocia and Postpartum Hemorrhage.

作者信息

Dahlke Joshua D, Bhalwal Asha, Chauhan Suneet P

机构信息

Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Nebraska Methodist Women's Hospital and Perinatal Center, 717 North 190th Plaza, Suite 2400, Omaha, NE 68022, USA.

Division of Maternal-Fetal Medicine, Department of Obstetrics, Gynecology, and Reproductive Sciences, UT Health-University of Texas Medical School at Houston, Houston, TX, USA.

出版信息

Obstet Gynecol Clin North Am. 2017 Jun;44(2):231-243. doi: 10.1016/j.ogc.2017.02.003.

Abstract

Shoulder dystocia and postpartum hemorrhage represent two of the most common emergencies faced in obstetric clinical practice, both requiring prompt recognition and management to avoid significant morbidity or mortality. Shoulder dystocia is an uncommon, unpredictable, and unpreventable obstetric emergency and can be managed with appropriate intervention. Postpartum hemorrhage occurs more commonly and carries significant risk of maternal morbidity. Institutional protocols and algorithms for the prevention and management of shoulder dystocia and postpartum hemorrhage have become mainstays for clinicians. The goal of this review is to summarize the diagnosis, incidence, risk factors, and management of shoulder dystocia and postpartum hemorrhage.

摘要

肩难产和产后出血是产科临床实践中面临的两种最常见的紧急情况,两者都需要迅速识别和处理,以避免严重的发病或死亡。肩难产是一种罕见、不可预测且无法预防的产科紧急情况,可通过适当干预进行处理。产后出血更为常见,且具有产妇发病的重大风险。预防和处理肩难产及产后出血的机构规程和算法已成为临床医生的主要依据。本综述的目的是总结肩难产和产后出血的诊断、发病率、危险因素及处理方法。

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