【摘要】 目的 :探讨近 15年来我院巨大儿的发生率及诊断、处理方法。方法 :按每 5年一个时间段回顾性分析我院 1989～ 2 0 0 3年 36 2例巨大儿的诊治情况 .结果 :巨大儿的发生率由 1989～ 1993年的 3.71%上升到 1999～ 2 0 0 3年的 6 .2 7% ;由以阴道分娩为主逐渐过渡到剖宫产分娩为主 ,且产后出血率并未增加 ,同时新生儿窒息、新生儿产伤、肩难产、死胎呈降低趋势。结论 :巨大儿的发生与妊娠期糖尿病、羊水过多、母亲肥胖等因素有关 ,剖宫产是目前巨大儿终止妊娠的主要手段。更多还原

【Abstract】 Objective:To probe into the incidence,diagnosis and management of gigantic neonates in the recent fifteen years.Methods:The data of 362 cases of gigantic neonates from January 1989 to December 2003 were reviewed,every 5 years as a time period.Results:The incidence of gigantic neonates increased from 3.71% during 1989-1993 to 6.27% during 1999-2003.The vagina parturition was gradually transited to cesarean parturition.The rate of postpartum hemorrhage didn’t increase.Meanwhile the incidence of asphyxia,neonate obstetric hurts,neonate shoulder presentation and stillbirth obviously decreased.Conclusions:The incidence of gigantic neonates is associated with the diabetes mellitus of gestation period,hydramnios and obesity lying in woman.Cesarean section is presently the major approach to the termination of pregnancy of gigantic neonates.更多还原