摘要
绒毛膜羊膜炎是指绒毛膜及羊水被病原微生物感染形成的炎症,会引起孕产妇围产期严重的并发症。分为有临床表现的和临床症状不明显但组织学上表现为要炎症细胞侵润的两种类型。临床上多数绒毛膜羊膜炎呈临床症状不明显的亚临床经过,出现特征性的临床表现较不典型且晚而容易被忽略。绒毛膜羊膜炎(chorioamnionitis,CAM)引起孕妇及围产儿严重的不良结局,可造成产妇宫缩乏力、产后出血、脓毒血症导致产妇重要脏器功能损害甚至衰竭,远期盆腔感染、不孕等,对于胎儿而言,可以导致胎儿多器官受累,出现胎儿窘迫、新生儿窒息甚至死亡。早期及时判断羊膜腔内是否存在感染,积极预防发展为绒毛膜羊膜炎尤为重要。如何早期发现孕妇是否患有绒毛膜羊膜炎对于妇产科医生来说至关重要。近些年,大量的文献报道了各种各样的预测指标。本文收集近年来的有关文献,将孕妇并发绒毛膜羊膜炎的预测指标进行综述。
The chorionic amnionitis refers to the inflammation of chorionic membrane and even amniotic fluid caused by pathogenic microorganisms, which can cause serious complications during the perinatal period. It is divided into two types: clinical manifestations and clinical symptoms that are not obvious but histologically manifested as inflammatory cells.Most of the clinical chorionic amnionitis is subclinical with no obvious clinical symptoms,and the characteristic clinical manifestations are less typical and later and easy to be ignored.Chorioamnionitis(CAM) can cause severe adverse outcomes for pregnant women and perinatal infants, which can cause maternal uterine asthenia,postpartum hemorrhage,sepsis,and maternal vital organ function damage or even failure,long-term pelvic infection, infertility, etc.. For the fetus,can cause multiple organs and distress in the fetus,neonatal asphyxia or even death. Early detection of infection in the amniotic cavity is important to prevent the development of chorionic amnionitis.It is very indispensable for gynecologist early detection to chorionic amnionitis for maternal. In recent years, a large number of literatures have reported a variety of predictive indicators. In this summarize have collected relevant literatures in the newest predictors of pregnant women complicated with chorioamnionitis in recent years.
作者
薄文
刘爱菊
游存厚
BO Wen;Liu Ai -ju;YOU Chun - hou(Inner Mongolia Medical University, Hohhot 010059 China;Inner Mongolia Autonomous Region Maternal and Child Health Hospital, Hohhot 010020 China)
出处
《内蒙古医学杂志》
2019年第8期940-943,共4页
Inner Mongolia Medical Journal
关键词
胎膜早破
绒毛膜羊膜炎
预测指标
premature rupture of memberanes
chorioamnionitis
prediction index
