产时发热中宫内感染的溯源诊断与全流程管理

何怡潇; 黄振宇; 陈敦金

doi:10.19538/j.fk2026040106

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中国实用妇科与产科杂志 ›› 2026, Vol. 42 ›› Issue (4) : 406-409. DOI: 10.19538/j.fk2026040106

专题笔谈

产时发热中宫内感染的溯源诊断与全流程管理

何怡潇 ¹ ,
黄振宇 ² ,
陈敦金 ¹^,³^,⁴^,⁵

作者信息 +

Etiological traceability diagnosis and whole-process management of intrauterine infection in intrapartum fever

HE Yi-xiao ¹ ,
HUANG Zhen-yu ² ,
CHEN Dun-jin ¹^,³^,⁴^,⁵

Author information +

文章历史 +

摘要

产时发热是产科常见急症，宫内感染（IAI）（以绒毛膜羊膜炎为核心）是其主要致病因素，可导致母儿不良结局风险显著升高。精准溯源诊断与规范化全流程管理是改善预后的关键。文章基于临床指南与循证医学证据，从病原学溯源、分层诊断策略、全周期管理路径（预防-干预-产后随访）3个维度，系统阐述产时发热中IAI的诊疗要点，强调病原学检测技术的临床应用价值与多学科协作的重要性，为产科临床实践提供参考。

Abstract

Intrapartum fever is a common emergency in obstetrics. Intrauterine infection （with chorioamnionitis as the core） is the main pathogenic factor，which can significantly increase the risk of adverse outcomes for both the mother and the fetus. Accurate etiological traceability diagnosis and standardized whole-process management are the key to improving prognosis. Based on clinical guidelines and evidence-based medical evidence，this article systematically elaborates on the key points of diagnosis and treatment of intrauterine infection in intrapartum fever，emphasizing the clinical application value of pathogen detection techniques and the importance of multidisciplinary collaboration in order to provide a reference for obstetric clinical practice.

导出引用

何怡潇, 黄振宇, 陈敦金. 产时发热中宫内感染的溯源诊断与全流程管理[J]. 中国实用妇科与产科杂志. 2026, 42(4): 406-409 https://doi.org/10.19538/j.fk2026040106

HE Yi-xiao, HUANG Zhen-yu, CHEN Dun-jin. Etiological traceability diagnosis and whole-process management of intrauterine infection in intrapartum fever[J]. Chinese Journal of Practical Gynecology and Obstetrics. 2026, 42(4): 406-409 https://doi.org/10.19538/j.fk2026040106

中图分类号： R714.3

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