扎瓦内利操作失败后死产。

Q4 Medicine

Ugeskrift for laeger Pub Date : 2024-06-17 DOI:10.61409/V02240095

Svetlana Frandsen, Pernille Ravn

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引用次数: 0

摘要

肩难产是一种严重的产科并发症，是指在阴道分娩过程中胎儿头部娩出后，一侧或双侧肩部被卡住。这种情况会危及胎儿的生命，需要迅速采取产科方法将肩部娩出。在极少数情况下，在急性剖腹产手术之前，可采用称为扎瓦内利手法（Zavanelli manoeuvre）的腹部方法，在将胎头置换回产道后实现分娩。本病例报告了一名 26 岁产妇的情况，她患有严重的肩难产，扎瓦内利操作失败，经阴道分娩出一名无生命迹象的婴儿。

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Stillbirth after failed Zavanelli manoeuvre.

Shoulder dystocia is a serious obstetric complication, where one or both shoulders of a child are trapped after the head is born during vaginal delivery. The situation is life-threatening for the child and requires quick management with obstetric manoeuveres for delivering the shoulders. Rarely, the abdominal approach called Zavanelli manoeuvre is used to achieve delivery after a replacement of the head back in the birth canal, prior to acute caesarean section. This is a case report of a 26-year-old woman with severe shoulder dystocia, failed Zavanelli manoeuvre and vaginal delivery of a lifeless child.

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来源期刊

Ugeskrift for laeger Medicine-Medicine (all)

CiteScore

0.20

自引率

0.00%

发文量

345

期刊介绍： The Ulster Medical Journal is an international general medical journal with contributions on all areas of medical and surgical specialties relevant to a general medical readership. It retains a focus on material relevant to the health of the Northern Ireland population. The Honorary Editor would welcome offers of papers for publication. Prospective authors are invited to read the notice to contributors.