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急诊剖宫产术中新生儿股骨骨折:一例报告

Femur Fracture in a Newborn During Emergency Cesarean Delivery: A Case Report.

作者信息

Dorjey Yeshey, Pradhan Abhisek, Lamichaney Gitanjali

机构信息

Department of Obstetrics and Gynaecology Phuntsholing General Hospital Chukha Bhutan.

Department of Orthopedic Surgery Phuntsholing General Hospital Chukha Bhutan.

出版信息

Clin Case Rep. 2025 Jan 6;13(1):e70084. doi: 10.1002/ccr3.70084. eCollection 2025 Jan.

DOI:10.1002/ccr3.70084
PMID:39764274
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11702426/
Abstract

Birth injury occurs when the delivery process is not appropriately attended, and the use of improper techniques or maneuvers while conducting the delivery. Cesarean delivery is considered safe as compared to vaginal for the breech presentation. However, this case reports a case of femur fracture of a newborn that occurred during an emergency cesarean section performed for breech presentation. This highlights cesarean section for malpresentation is not completely safe.

摘要

当分娩过程未得到妥善照料,以及在分娩过程中使用不当技术或手法时,就会发生产伤。与臀位阴道分娩相比,剖宫产被认为是安全的。然而,本病例报告了一例在因臀位行急诊剖宫产时发生的新生儿股骨骨折。这突出表明,因胎位不正行剖宫产并非完全安全。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dcae/11702426/3f19f5651947/CCR3-13-e70084-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dcae/11702426/99932435421a/CCR3-13-e70084-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dcae/11702426/734731a432d4/CCR3-13-e70084-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dcae/11702426/00f868b6d435/CCR3-13-e70084-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dcae/11702426/3f19f5651947/CCR3-13-e70084-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dcae/11702426/99932435421a/CCR3-13-e70084-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dcae/11702426/734731a432d4/CCR3-13-e70084-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dcae/11702426/00f868b6d435/CCR3-13-e70084-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dcae/11702426/3f19f5651947/CCR3-13-e70084-g001.jpg

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本文引用的文献

1
Femoral fracture during breech vaginal delivery: A case report.臀位经阴道分娩时发生股骨干骨折:1 例报告。
J Gynecol Obstet Hum Reprod. 2022 Mar;51(3):102310. doi: 10.1016/j.jogoh.2022.102310. Epub 2022 Jan 5.
2
Femur Shaft Fracture in Newborns: A Report of Two Cases.新生儿股骨干骨折:两例报告
Cureus. 2021 Jan 5;13(1):e12504. doi: 10.7759/cureus.12504.
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Bilateral femoral fractures during birth, in a neonate with malformation complex with stiffness.出生时双侧股骨骨折,见于一名患有伴有僵硬的复杂畸形的新生儿。
Clin Case Rep. 2020 Apr 27;8(7):1230-1233. doi: 10.1002/ccr3.2877. eCollection 2020 Jul.
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Best practice guidelines regarding prenatal evaluation and delivery of patients with skeletal dysplasia.骨骼发育不良患者的产前评估和分娩的最佳实践指南。
Am J Obstet Gynecol. 2018 Dec;219(6):545-562. doi: 10.1016/j.ajog.2018.07.017. Epub 2018 Jul 23.
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Birth Injuries in Neonates.新生儿产伤
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Birth-associated long-bone fractures.出生相关的长骨骨折。
Int J Gynaecol Obstet. 2013 Nov;123(2):127-30. doi: 10.1016/j.ijgo.2013.05.013. Epub 2013 Jul 30.
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Birth trauma--risk factors and short-term neonatal outcome.出生创伤——危险因素与新生儿短期结局
J Matern Fetal Neonatal Med. 2013 Oct;26(15):1491-5. doi: 10.3109/14767058.2013.789850. Epub 2013 Apr 30.
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Fetal injury associated with cesarean delivery.剖宫产相关的胎儿损伤。
Obstet Gynecol. 2007 Mar;109(3):783; author reply 784. doi: 10.1097/01.AOG.0000257663.45747.56.