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孕妇脐带脱出 医生半跪托举直到胎儿成功剖出

2017-04-23 12:20:54   

本报讯(记者刘璇通讯员刘蔓)孕妇突然腹痛,独自去医院检查才知羊水破裂,且脐带脱垂到体外,胎儿就像被勒住脖子一样随时可能窒息。

江夏的周女士今年28岁,怀二胎40周。17日上午,她突然肚子疼得厉害,老公上班又不在家,她独自前往家附近的协和江南医院产检。医生一检查吓了一跳:羊水都快流干了,脐带已脱垂到体外,胎心跳得很快,已经出现宫内窘迫。

正常分娩都是胎儿先娩出,然后才是脐带、胎盘娩出。一旦脐带先于胎儿娩出,脐带被挤压在产妇骨盆和胎儿头部之间,这对于胎儿来说就像被勒住了脖子,极易引发胎儿缺氧。

“没有了血供,胎儿5分钟内就会窒息而亡。”医生彭静心里一沉,决定立即给周女士做剖宫产手术。她弓着身子,半跪着一直用右手堵住周女士外露的脐带,轻轻向上托着,尽量给脐带留出空间(见右图)。5分钟后,在同事的帮助下,一个健康男婴顺利剖出。从产检到宝宝娩出,仅用了15分钟时间。

“脐带脱垂是生产过程中一种极为凶险的并发症。”彭静昨天说,这个动作能阻止脐带继续掉出来,保证胎儿的正常血运,为宝宝“疏畅”了生命通道。

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