未足月胎膜早破80例临床观察

目的:通过对未足月胎膜早破的临床资料分析,探讨未足月胎膜早破的治疗方法。方法:回顾性分析我院2006年1~12月份收治的80例未足月胎膜早破,按不同孕周进行分组。结果:孕28~32周20例中有3例新生儿窒息,32~34周27例有2例新生儿窒息,34~36周33例有1例新生儿窒息。80例患者中无1例孕妇发生产褥期感染。结论:对孕龄小于32孕周,且无明显胎儿宫内窘迫及宫腔感染者应尽量延长孕龄至32周以上,大于32孕周的尽量促胎肺成熟治疗2天以增加新生儿存活率。

Preterm premature rupture of the membranes in 80 cases

Objective:To approach the treatment for preterm premature rupture of the membranes(PPROM)complicated with premature delivery by examining the clinical data of these cases.Methods:The clinical data of 80 cases with PPROM,collected from January to December in our hospital,were assigned to groups by gestational weeks of 28 or 36 for this retrospective study.Results:The incidence of asphyxia in the newborns occurred in 3 out of 20 cases during the gestation of weeks 28 to 32,7 in 27 between 32 and 34 and 1out of 33 in weeks of 34 to 36.Non intra-amniotic inflammation developed in all 80 cases.Conclusion:For those cases whose gestation period is under 32 weeks with no marked intra-uterine asphyxia and intrauterine infection,delayed delivery should be recommended,and for those beyond gestational weeks of 32,administering antenatal corticosteroids must be recommended to improve the fetal survival rate.