摘要
胎膜早破(PROM)为常见的分娩并发症,破膜后宫腔及胎儿的感染增加了对孕妇和胎儿的危险。正确处理早产胎膜早破对防治感染和提高胎儿成活度更为重要。本文对35例早产胎膜早破的病史和诱因进行了分析,认为其发生可能与细菌上行感染有关。对早产胎膜早破的处理,应积极控制感染,争取在胎儿肺成熟后即行引产。早产胎膜早破如≥30周且无感染者可采取等待疗法,或估计胎儿体重在1500g 以上者经48～72小时的治疗促其肺成熟后,可选择剖腹产分娩。
PROM is a common complication of labour.The infection of uterine and fetusafter membrane rupture increases the risk to pregnants and fetuses,so it becomesmore important to prevent infection and to increase fetal survival in the managementof PROM in premature labour.Histories in 35 cases and inducing factors to PROM of premature labour areanalyzed,It was supposed the PROM was related to ascending bacterial infection,damage of ovo-lemma structure and fragility of membranes.The infection and prematurity of fetal lung make it more difficult to treat PR-OM of premature labour.So induction can be carried out after preventing infectionand promoting lung maturity.Delivery method may be an option in accordance withthe gestational week.It was pointed out that PROM of premature labour longerthan 30 weeks without infection might be treated with supportive therapy,or Cesareansection could be performed if the fetal body weight was estimated over 1,500gafter 48-72 hr treatment for lung maturity.
出处
《天津医药》
CAS
1989年第11期666-668,共3页
Tianjin Medical Journal
