妊娠34 周前胎膜早破的治疗进展  

Progress in treatment of premature rupture of the membranes before 34 weeks of pregnancy

作　　者：刘红霞 张敏 黄楠[1] LIU Hongxia;ZHANG Min;HUANG Nan(Department of Obstetrics and Gynecology,the Fifth People's Hospital of Chongqing,Chongqing,400062,China)

机构地区：[1]重庆市第五人民医院妇产科,重庆400062

出　　处：《当代医学》2024年第17期190-194,共5页Contemporary Medicine

摘　　要：未足月胎膜早破(preterm premature rupture of the membranes,PPROM)特别是孕龄<34周的胎膜早破是临床上处理比较困难的问题,期待治疗增加了母体感染、产后出血等并发症的发生风险;胎儿也可能存在宫内感染,胎膜早破所致羊水过少;期待时间过长可导致胎儿骨骼发育异常、胎儿肢体粘连、胎肺发育不全等不良后果。在无继续妊娠禁忌证情况下,期待治疗能明显降低新生儿发病率和病死率。因此,在制订诊疗方案时需结合多方面因素进行考虑,得出最佳治疗方案,以期减少母儿并发症发生。本文通过对PPROM的治疗进展进行综述,为临床工作者提供帮助。Preterm premature rupture of the membranes(PPROM),especially gestational age<34 weeks,is a difficult problem in clinical agement.Expectant treatment increases the risk of maternal infection,postpartum hemorrhage and other complications.Fetal intrauterine may also exist,premature rupture of membranes caused by amniotic fluid is too little,the expectation time is too long,can lead to fetal bone develop-ment abnormalities,fetal limb adhesion,fetal lung hypoplasia and other adverse consequences.However,in the absence of contraindications of con-tinued pregnancy,it is expected that treatment can significantly reduce neonatal morbidity and mortality.Therefore,the formulation of diagnosis and treatment plan is contradictory,and it is necessary to consider various factors to obtain the best treatment plan,in order to reduce maternal and infant complications.In this paper,we hope to review the progress of the treatment of this disease and provide help for clinical workers.

关 键 词：未足月胎膜早破 期待治疗 亚临床绒毛膜羊膜炎 促胎肺成熟 

分 类 号：R714.433[医药卫生—妇产科学]