妊娠合并麻疹15例临床分析

A Clinical Study on Measles in Pregnancy of 15 Cases

目的：探讨妊娠合并麻疹临床表现治疗体会及麻疹对妊娠结局的影响。方法：对15例妊娠合并麻疹患者进行回顾性分析。结果：15例妊娠合并麻疹孕妇，早孕2例皆流产，中孕6例，保胎失败流产4例，成功2例，发生先兆早产（28~36周）5例，保胎失败早产3例（2例新生儿死亡，1例存活），2例保胎成功。37周足月产经阴道分娩1例，胎儿宫内窘迫1例行剖宫产终止妊娠。无孕产妇死亡。结论：妊娠合并麻疹患者极易导致不良妊娠结局即流产、早产。一旦确诊，应该积极对症治疗，早孕感染终止妊娠为妥，中孕感染极易发生流产，晚孕如胎儿能够存活，促胎肺成熟，预防早产，孕足月应该尽快终止妊娠。

Objective:To investigate pregnancy with measles clinical treatment experience and the effects on pregnancy outcome. Method:15 cases of pregnancy with measles patients were retrospectively analyzed. Result:15 cases of pregnancy with measles pregnant women,2 cases of early pregnancy abortion,Second-trimester 6 cases,spuc abortion 4 cases of failure,success in 2 cases,Aura preterm(28 to 36 weeks) in 5 cases,spuc premature failure 3 cases (2 cases of neonatal death,1 case of survival),2 cases of spuc success. 37 weeks full-termvaginal delivery in 1 sankei shimbun,fetal intrauterine distress 1 underwent cesarean delivery to terminate pregnancy. No maternal death.Conclusion:Pregnancy with measles patients are vulnerable to adverse pregnancy outcome,they are vulnerable to abortion,premature birth.Once patients were diagnosed,they should be actively treated by symptomatic treatment,Pregnancy infection for termination of pregnancy,Pregnant abortion,measles infection easily happened in the. Late pregnancy if the fetus is able to survive,to promote fetal lung maturity,prevent premature and full-termpregnancy should terminate pregnancy as soon as possible.