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重新审视臂丛神经产瘫:超越对医生的指责。

Rethinking brachial plexus birth palsy: Beyond physician blame.

作者信息

Jerome J Terrence Jose, Leechavengvongs Somsak, Malungpaishrope Kanchai, Kuppusamy Thirumagal

机构信息

European Diploma Hand Surgery, Department of Orthopedics, Hand and Reconstructive Microsurgery, Olympia Hospital & Research Centre, 47, 47A Puthur High Road, Puthur, Trichy, Tamilnadu, 620017, India.

Upper Extremity and Reconstructive Microsurgery Unit, Institute of Orthopaedics, Lerdsin General Hospital, Department of Medical Services, Ministry of Public Health, Bangkok, Thailand.

出版信息

J Hand Microsurg. 2024 Oct 5;17(1):100166. doi: 10.1016/j.jham.2024.100166. eCollection 2025 Jan.

Abstract

Brachial plexus birth palsy, a devastating injury affecting newborns, has long been a source of contention and misunderstanding. This article aims to dispel the myth that healthcare providers are solely responsible for these injuries, presenting evidence that highlights the complex interplay of maternal, fetal, and biological factors in their causation. By shifting the narrative away from blame and towards a more comprehensive understanding, we can foster a more supportive and informed approach to childbirth.

摘要

臂丛神经产瘫是一种影响新生儿的严重损伤,长期以来一直是争议和误解的根源。本文旨在消除医疗服务提供者对这些损伤负有唯一责任的错误观念,提供证据强调母亲、胎儿和生物学因素在其病因中的复杂相互作用。通过将叙述从指责转向更全面的理解,我们可以培养一种更具支持性和信息充分的分娩方式。

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本文引用的文献

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History and Metamorphosis of Hand Surgery India.印度手外科的历史与变迁
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Hand Surgery in Thailand.泰国的手外科手术。
J Hand Microsurg. 2021 Jan;13(1):35-41. doi: 10.1055/s-0040-1721900. Epub 2021 Feb 28.
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Hand Surgery in Hong Kong.香港的手外科
J Hand Microsurg. 2021 Jan;13(1):27-34. doi: 10.1055/s-0040-1721940. Epub 2021 Jan 7.
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Hand Surgery in Malaysia.马来西亚的手外科手术
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Hand Surgery in Cambodia.柬埔寨的手外科
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Hand Surgery in Singapore.新加坡的手外科
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