摘要
目的:通過對28例孕26周至孕32周胎膜早破病例產科處理的分析,對其處理的方法及抗菌素的應用進行評價。方法:28例隨機分為兩組,16例應用期待療法,12例保胎療法。預防性應用抗菌素12例。結果:保胎療法明顯延長孕期(P<0.001),但母親感染率增加。預防應用抗菌素組發熱明顯減少。期待療法用於孕26~32周胎膜早破病例並沒有增加新生兒死亡及新生兒呼吸窘迫綜合徵的發生。結論:孕26周~32周胎膜早破應用期待療法仍有良好效果。常規應用抗菌素可預防與胎膜早破有關的母嬰合併症。
Objective:To review 28 cases with preterm premature rupture of membranes(PPROM)between 26~32 weeks gestation and provide a clinical opinion on the management and therapy.Methods:Analysis was carried out for two groups.16 cases were treated by medicine to prolong the pregnancy,12 cases expectant treatment.Antibiotics was used in 12 cases.Result:Prolonging pregnancy treatment can prolong the time of pregnancy evidently,but the infection of mathers increased.Given antibiotic prophylaxis can decrease the cases of fever.Expectant treatment did not obtain a high neonate died and neonate RDS rate.Conclution:Expectant treatment tend to be a good method to treat the preterm premature rupture of membrances between 26~32 weeks.Antibiotic therapy is indicated to prevent maternal complications associated PPROM.
作者
王揚
洪濱
Wang Yang;Hong Pan(Kiang Wu Hospital,Macao China)
出处
《镜湖医学》
1998年第1期30-32,共3页
MEDICAL JOURNAL OF KIANG WU
关键词
胎膜
早期破裂
抗菌素
Fetal membranes
Premature rupture
Antibiotics
