中国实用妇科与产科杂志

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妊娠34周前胎膜早破的处理

白宇翔漆洪波   

  1. 作者单位:重庆医科大学附属第一医院妇产科,重庆 400016
  • 出版日期:2014-06-02 发布日期:2014-05-22
  • 通讯作者: 漆洪波 

Treatment of premature rupture of membrane before 34 weeks of gestation.

BAI Yu-xiang,QI Hong-bo.   

  1. Department of Obstetrics and Gynecology, The First Affiliated Hospital of Chongqing Medical University, Chongqing 400016,China 
  • Online:2014-06-02 Published:2014-05-22

摘要:

妊娠34周前胎膜早破因胎肺不成熟、并发症多、妊娠结局较差,处理起来比较棘手。临床上应把握未足月胎膜早破(PPROM)处理的总体原则:一旦感染的风险超过早产并发症的风险,应考虑终止妊娠。孕周大小是决定PPROM处理方案的第一要素。根据不同的孕周,制定不同的处理策略。

关键词: 妊娠<, 34周, 未足月胎膜早破, 抗生素, 糖皮质激素

Abstract:

Abstract:According to pulmonary immaturity,many complications, poor pregnancy outcome, premature rupture of membranes before 34 weeks of gestation is much difficult to be treated.The general principles of PPROM treatment should be mastered in clinical: once the risk of infection is more serious than the risk of preterm complications, pregnancy termination should be considered.Gestation week need to be prioritized when treating PPROM. Different gestational age needs different treatment strategies.

Key words: gestation week before 34 weeks, PPROM, antibiotics, corticosteroids

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