早产合并胎膜早破221例分析

目的:探讨早产合并胎膜早破的原因,分析围产儿的并发症,寻找终止妊娠的时机。方法:对1998年1月-2001年12月间221例早产合并胎膜早破病例资料进行回顾性分析。结果:早产合并胎膜早破占分娩总数的2.27%,流产引产史、臀位、阴道炎、双胎为主要因素,在处理上积极保胎,尽可能让妊娠延续到34周以上,并争取促胎肺成熟治疗,减少新生儿RDS发生,但抑制宫缩治疗的效果不能肯定,同时预防性应用抗生素,一旦出现感染征象,不论胎龄高低均应终止妊娠。结论:恰当处理早产合并胎膜早破,将减少早产儿并发症,降低早产儿病死率的关键。

Analysis of cases of preterm premature rupture of membranes (PPROM)

Objective: To find out the reasons for PPROM, to make clear the relations between PPROM and perinatal complications; to choose the right moment to terminate pregnancy. Methods: From Januarly 1998 to December 2001, retrospective study was done on 221 cases of PPROM. Results: The rate of PPROM was 2. 27%, history of abortion or induction of labor, breech presentation, vaginitis, twin pregnancy, were main reasons. To try to continue the gestation, to 34 weeks as far as possible, to promote foetal lung mature would decreace the rate of newborn RDS. But there was no sure that the way to treat uterine contracetion was effective; using antibiotic was important, when infection took place, gestation had to be stop ped-Conclusion: Proper treatment for PPROM will decreace the rate of premature complions and the death rate of premature.