Umbilical Cord Prolapse
Umbilical Cord Prolapse
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DOI：
10.1016/j.ogc.2012.11.002
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发表时间：
2013-03-01
影响因子：
3.2
通讯作者：
Phelan, Sharon T.
中科院分区：
文献类型：
--
作者：
Holbrook, Bradley D.;Phelan, Sharon T.
脐带脱垂是一种产科急症，可能对胎儿产生负面影响。它是通过可触及或可见的脐带来诊断的，通常伴有严重的、快速的胎儿心率减慢。脐带脱垂的病例应尽快分娩，通常采用剖宫产。在等待分娩时，应手动或通过充盈膀胱将胎儿先露部分从脐带上抬起。虽然未经治疗的脐带脱垂病例可导致严重的胎儿发病率和死亡率，但及时和适当的治疗可带来良好的总体结局。
Umbilical cord prolapse is an obstetric emergency that can have negative outcomes for the fetus. It is diagnosed by a palpable or visible cord and is often accompanied by severe, rapid fetal heart rate decelerations. Cases of cord prolapse should be delivered as soon as possible, usually by cesarean section. While awaiting delivery, the fetal presenting part should be elevated off the cord either manually or by filling the bladder. Although an untreated case of umbilical cord prolapse can lead to severe fetal morbidity and mortality, prompt and appropriate management leads to good overall outcomes.