妇产科-诊疗常规与技术操作规程.doc

PAGE PAGE 2 XXXXX院 妇产科诊疗常规 及技术操作规程 XXXXXXXX院 二〇一七年一月修订 目 录 第一章 产科疾病············································1 1、产前检查············································1 2、正常分娩·············································2 3、难产处理················································7 (1)产力异常···············································7 〔附〕子宫收缩环··········································7 (2)骨产道异常·············································11 (3)胎位及胎儿异常········································10 ①枕后位(枕横位) ········································10 ②颜面位·················································11 ③臀位···················································11 ④横位···················································12 ⑤巨大胎儿·············································13 ⑥无脑儿················································13 ⑦脑积水·················································14 4、妊娠病理···············································15 (1)妊娠高血压综合征······································15 (2)过期妊娠··············································18 (3)双胎··················································19 (4)胎儿宫内发育迟缓(IUGR )································20 (5)死胎··················································22 (6)羊水过少··············································22 (7)羊水过多··············································23 (8)前置胎盘··············································24 (9)胎盘早期剥离··········································26 (10)早产·················································27 (11)前次剖宫产············································28 (12)疤痕子宫·············································29 5、妊娠合并症·············································29 (1)妊娠合并贫血··········································29 (2)妊娠合并心脏病········································31 (3)妊娠合并心律失常······································33 (4)围产期心肌病··········································34 (J)妊娠合并卵巢肿瘤·······································34 (6)妊娠合并甲状腺功能亢进································35 (7)妊娠合并糖尿病············