探讨孕28～34周胎膜早破孕妇的最佳安胎时限  

作　　者：戴云先[1] 

机构地区：[1]广东省茂名市妇幼保健院妇产科,525000

出　　处：《当代医学》2013年第7期35-37,共3页Contemporary Medicine

摘　　要：目的探讨孕28～34周胎膜早破的孕妇保胎治疗的最佳时限。方法对保胎治疗的115例孕28～34周胎膜早破的孕妇的保胎时间及新生儿和孕妇的结局进行回顾性分析。结果保胎至34～35周56例,35+1～37周4例,32～33+6周27例,30～31+6周22例,<30周6例,新生儿死亡17例,新生儿存活98例。结论对28～34周孕妇在无产科指征或母婴感染征象时,可积极保胎适当延长孕周;但保胎至35～37周孕妇应适时终止妊娠,以降低母婴发病率和病死率。如无感染征象可保胎至足月,适时终止妊娠。Objective Explore the preterm premature rupture of membranes （PPROM） with 28 - 34 gestational weeks, when it was the best time to divery if they were gived expectant management. Methods retrospective analysis of 115 cases of the preterm premature rupture of membranes with 28 - 34 gestational weeks who were they were gived expectant management, the risk of newborns and pregnant women. Results 56 PPROM cases had lengthened gestational weeks to34-35; 4 PPROM cases had lengthened gestational weeks to35^＋1-37; 27 PPROM cases had lengthened gestational weeks to32-33^＋6; 22 PPROM cases had lengthened gestational weeks to30-31^＋6; 6 PPROM cases had lengthened gestational weeks to30; 17 newbirths were died and 98 were lived. Conclusion No obstetric indications or infection of pregnant 28 to 34 weeks, can actively give expectant management to extend the gestational age; but giving birth in time when pregnancy 35 to 37 weeks, to reduce maternal and child morbidity and mortality. If no signs of infection, PPROM cases were gived expectant management to 37 weeks.

关 键 词：胎膜早破 保胎时限 期待疗法 母儿预后 

分 类 号：R714.4[医药卫生—妇产科学]