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[剖宫产的风险]

[Risks of cesarean section].

作者信息

Berland M

出版信息

Rev Fr Gynecol Obstet. 1986 Apr;81(4):187-90, 193-4.

PMID:3715301
Abstract

Despite improvements in medical and surgical techniques, complications are not unusual in cesarean sections and may, in some cases, be life-threatening. Complications affecting the mother can be divided schematically into 3 groups: immediate surgical complications essentially represented by hemorrhages usually involving local factors (tearing of lower segment, placentation disorders), and anesthetic complications; secondary post-operative complications, dominated by the most common infections and occasionally very severe cases of thromboembolism; late complications involving weakening of the uterus. Complications affecting the fetus are much rarer and are generally linked to the indication of cesarean section rather than to the section itself. Nevertheless, fetal morbidity can be affected by cesarean section: transient respiratory distress, retention of anesthetic and even some traumas have been noted during fetal delivery.

摘要

尽管医学和外科技术有所进步,但剖宫产术中并发症并不罕见,在某些情况下甚至可能危及生命。影响母亲的并发症可大致分为3组:直接手术并发症,主要表现为出血,通常涉及局部因素(下段撕裂、胎盘植入异常)以及麻醉并发症;术后继发性并发症,以最常见的感染为主,偶尔也有非常严重的血栓栓塞病例;晚期并发症,涉及子宫功能减弱。影响胎儿的并发症则要罕见得多,通常与剖宫产指征有关,而非手术本身。然而,剖宫产可能会影响胎儿发病率:胎儿娩出期间已注意到有短暂性呼吸窘迫、麻醉药物残留甚至一些创伤。

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