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1、·CesareanSectionOperativeReport剖宫产手术记录PreoperativeDiagnosis:术前诊断1.23yearoldG1P0,estimatedgestationalage=40weeks23岁G1P0,估计孕周402.Dystocia难产3.Non-reassuringfetaltracing不确定PostoperativeDiagnosis:Sameasabove术后诊断:同前TitleofOperation:Primarylowsegmenttransversecesareansection手术名称:首次子宫下段横切口剖宫产Surgeon:术者Ass
2、istant:助手Anesthesia:Epidural麻醉:硬膜外FindingsAtSurgery:术中所见:Maleinfantinocciputposteriorpresentation.男婴,枕后位Thinmeconiumwithnonebelowthecords,pediatricspresentatdelivery,APGAR's6/8,weight3980g.Normaluterus,tubes,andovaries.稀薄胎粪,分娩时有儿科医生陪伴。阿氏评分1分钟6分,5分钟8分,体重3980g。子宫、卵管、卵巢正常。DescriptionofOperativeProced
3、ure:手术过程描述:Afterassuringinformedconsent,thepatientwastakentotheoperatingroomandspinalanesthesiawasinitiated.Thepatientwasplacedinthedorsal,supinepositionwithleftlateraltilt.Theabdomenwaspreppedanddrapedinsterilefashion.得到(麻醉师)确认许可后,患者进入手术室,应用腰麻。患者采用仰卧左倾斜位,腹部准备,无菌覆盖。APfannenstielskinincisionwasmade
4、withascalpelandcarriedthroughtothelevelofthefascia.ThefascialincisionwasextendedbilaterallywithMayoscissors.ThefascialincisionwasthengraspedwiththeKocherclamps,elevated,andsharplyandbluntlydissectedsuperiorlyandinferiorlyfromtherectusmuscles.用手术刀行凡能斯提尔切口(耻骨上腹部横行半月状切口),穿过筋膜层。用Mayo剪刀向两侧延长切口。Kocher钳夹
5、持筋膜切口,提起,然后钝性上下分离腹直肌。Therectusmuscleswerethenseparatedinthemidline,andtheperitoneumwastentedup,andenteredsharplywithMetzenbaumscissors.Theperitonealincisionwasextendedsuperiorlyandinferiorlywithgoodvisualizationofthebladder.腹直肌被从中间分开,腹膜自动膨出,用Metzenbaum剪刀锐性剪开。在看清膀胱的基础上,上下延长腹膜切口。Abladderbladewasthen
6、inserted,andthevesicouterineperitoneumwasidentified,graspedwiththepick-ups,andenteredsharplywiththeMetzenbaumscissors.Thisincisionwasthenextendedlaterally,andabladderflapwascreated.Thebladderwasretractedusingthebladderblade.Theloweruterinesegmentwasincisedinatransversefashionwiththescalpel,thenext
7、endedbilaterallywithbandagescissors.Thebladderbladewasremoved,andtheinfantsheadwasdeliveredatraumatically.Thenoseandmouthweresuctionedandthecordclampedandcut.Theinfantwashandedofftothepediatrician.Cordgasesandcor