早产合并胎膜早破38例临床分析

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2002年1月～2005年12月间38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34w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,是减少早产儿并发症,降低早产儿病死率的关键。

Clinical Analysis of 38 Cases with Premature Rupture of Membranes

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 January 2002 to December 2005,a retrospective study was done on 38 cases of PPROM. Results The rate of PPROM was 2.27% ,history of abortion or induction of labor,breech Presentation,twin pregnancy,et al.are main causes. Gestations should be lengthened to as long as 34 weeks,promotion of fetal lung mature will decrease the rate of new bern RDS. Gestations have to be stopped when necessary. Conclusion Proper treatment for PPROM will decrease the rate of RDS and premature death.