胎膜早破与产妇感染(附225例分析)

报道胎膜早破225人次,其中32例产妇发生宫内感染,占14.2％;64例行剖腹产术,49例发生盆腔感染,占76.6％。均明显高于对照组。早破膜在24h内感染率为9.2％,超过24h者增至46.7％。引起感染的病原菌主要来自阴道。部分病例行羊水细菌培养,破水时间大于12h者均有细菌生长,培养出的细菌主要为金黄色葡萄球菌。本组预防用药为青霉素加庆大霉素,严重者选用氨苄青霉素。

Premature Rupture of Membranes and Maternal Infection (An Analysis of 225 Cases)

Two hundred and twenty five cases with premature rupture of fetal membranes (PROM) have been analysed, 32(14.2%) cases had intrauterine infection. 64 patients undergoing Cesarean section, 49(76%) get infected at the site of operation. The maternal morbidity was much higher than that of the control. The infection rate within 24 hours after rupture of the membranes was 9.2% and that af- ter 24 hours was 46.7%. The pathogens came mostly from the vagina. Bacterial growth was found in cultures of amniotic fluid collected 12 hours after the rupture. The primary bacterium found in the cul- ture was staphylococcus aureus. Prophylactic antibiotics used in this study were penicillin G and gen- tamycin. Ampicillin was used in severe cases.