【摘要】 目的　探讨巨大胎儿的产前诊断、相关因素、分娩方式 ,为降低母婴并发症提供依据。方法　回顾性分析 2 33例巨大胎儿的诊断、相关因素、分娩方式及并发症 ,并与同期单胎正常体重儿进行比较。结果　产妇体重、孕周及宫高腹围等是诊断巨大胎儿的相关因素 ,超声下的BPD +FL≥ 16 5mm或AC≥ 110mm可作为产前诊断巨大胎儿的一项可靠指标 ,巨大胎儿的分娩方式以剖宫产相对安全。结论　明确诊断、选择适宜的分娩方式、积极预防产后出血 ,可以有效预防巨大胎儿围产期问题 ,保护母婴健康。更多还原

【Abstract】 Objective In order to reduce the rate of mother-baby syndrome, we analyzed 233 example large embryos, studied the diagnosis of prenatal, the way of delivery and other related factors retrospectively. Methods To analyze retrospectively the diagnosis, related factors , the way of delivery and syndrome and compare with the normal one-baby embryo of the same term. Results The related factors of diagnosing large embryo included the weight of lying-in woman, the period of pregnancy and palace high and all round abdomen and so on. BPO+FL≥165mm or Ac≥110mm under ultrasonic could be a reliable index of diagnosing whether they were large embryos. For a large embryo, the comparatively safe way of delivery was dissecting womb. Conclusions It could prevent the problem of large fetus effectively to make diagnosis clear, select proper delivery way and prevent bleeding after delivering in order to protect health of mother and baby.更多还原