62例胎膜早破临床分析

Clinidc Analysis of sixty-two cases with premature ruprure of membranes

目的 :探讨胎膜早破对母婴的危害。方法 :对1999年1月至2001年12月间收住的62例胎膜早破进行回顾分析。结果 :其发生率4 9% ,未足月占61 3% ,孕足月占38 7% ,临床绒毛膜炎25 8 % ,胎儿宫内窘迫32 3 % ,新生儿死亡率12 9 % ,剖宫产占37 1%。结论 :胎膜早破对有羊膜炎者应不考虑孕龄及时终止妊娠 ,对孕龄未达37w并无感染者给保胎 ,促胎肺成熟 ,抗菌素预防感染治疗 。

Objective:To probe the harminflunence to pregnancy women and infantals in sixty-two cases with premature rupture of membranes(PROM).methods:Analyse sixty-two cases with PROMretrospectively,the cases collested from January1999to Desember2001.Results:The rate of PROMwas4.9%among this,preterm pregˉnancy account61.3%,and term preagnancy account38.7%,The rate of chorioamnionitis was28.8%.The rate of fetal distress was32.3%,The rate of neonatal death wad12.9%,and the rate of cesarean section was37.1%.Conclution pregnancy should be stop when patients had PROM and chorioamnionitis,in those cases we did not consider the gestational weeks;If patients had PROM,but not had inflammation,and the pregnancy did not reach37weeks,we should prolong the pregnancy,prompt mature of fetal lung,and antiinflammati-on with antibiotics.If patients had PROMand term-pregnancy,we should stop pregnancy within24hours.