足月巨大儿的创伤性损伤。

Traumatic injury in large-for-date infants.

作者信息

Wikström I, Axelsson O, Bergström R, Meirik O

机构信息

Department of Obstetrics and Gynecology, University of Uppsala, Sweden.

出版信息

Acta Obstet Gynecol Scand. 1988;67(3):259-64. doi: 10.3109/00016348809004216.

DOI:10.3109/00016348809004216

PMID:3176946

Abstract

The risk of traumatic injury and low Apgar score was studied in 473 infants with a birth weight of 4500 g or more at term (LFD) and 473 infants with normal weight (NFD, birth weight +/- 1 SD of mean for the respective gestational age). The LFD group comprised 3.2% of all infants delivered during a 5-year period. Traumatic injuries were observed in 8.0% of the LFD versus 0.6% of the NFD group. The injuries in the LFD group were 28 fractured clavicles, four fractured humerus and 12 brachial plexus injuries. Six of the LFD infants had multiple injuries. The injuries in the NFD group were three fractured clavicles. All infants with traumatic injuries were delivered vaginally. Contributory obstetrical factors for traumatic injury were forceps, post-term pregnancy and vacuum extraction. High birth weight was correlated to a low Apgar score at one minute, as also was post-term pregnancy.

摘要

对473名足月出生体重4500克及以上的婴儿（大胎儿组，LFD）和473名正常体重婴儿（正常胎儿组，NFD，出生体重为相应孕周平均体重的±1标准差）的创伤性损伤风险及低阿氏评分进行了研究。大胎儿组占5年期间所有分娩婴儿的3.2%。大胎儿组创伤性损伤发生率为8.0%，而正常胎儿组为0.6%。大胎儿组的损伤包括28例锁骨骨折、4例肱骨骨折和12例臂丛神经损伤。6名大胎儿组婴儿有多处损伤。正常胎儿组的损伤为3例锁骨骨折。所有有创伤性损伤的婴儿均经阴道分娩。创伤性损伤的相关产科因素包括产钳助产、过期妊娠和真空吸引。高出生体重与1分钟时低阿氏评分相关，过期妊娠也是如此。