早产合并胎膜早破新生儿结局的回顾性调查  

A four year retrospective study of neonatal out-come on preterm premature rupture of themembranes

作　　者：吴连方[1] Thom.,P 

机构地区：[1]北京妇产医院

出　　处：《中华妇产科杂志》1994年第10期578-581,共4页Chinese Journal of Obstetrics and Gynecology

摘　　要：回顾性调查瑞典Ｋａｒｏｌｉｎｓｋａ医院妇产科，１９８８年１月１日至１９９１年１２月３１日四年期间，孕周在２５～３６周￣（＋６）发生胎膜早破的单活胎病例，破膜距分娩时间超过２４小时者６０例，其治疗原则为少干预的期待疗法。结果：新生儿存活５５例（９１．７％），新生儿死亡５例中，３例有明显的心脏畸形和多发畸形；１例２９周死于肺透明膜病；仅有１例直接死因为感染。结果表明，该院对早产胎膜早破病例实行少干预的期待疗法，有良好的效果。uring a four year period, 60 patients with prema-ture rupture of membranes(PROM ) met the inclusioncriteria of having a single living fetus with gestationalage between 25 to 36 weeks and more than 24 hours be-tween PROM and deliverv were admitted in KarolinskaHospital,Sweden. These cases were reviewed retro-spectively,Five neonates died postnatally and the totalsurvival rate was 91.7%。 Three of them had majormalformations and one died of hyaline membrane diseasewith 2 9 weeks of gestational age, In only one case theimmediate cause of death was due to infection,The pre-sent protocol of expectant treatment for PROM in thishospital tends to be a minimum of unneccessary inter-vention for obtaining a high survival rate.

关 键 词：围产期学 死亡率 胎膜早破 早产 

分 类 号：R714.7[医药卫生—妇产科学]