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目的探讨早产胎膜早破的妊娠结局。方法对86例早产胎膜早破进行回顾性分析。比较不同孕周对围生儿结局的影响。结果主要诱因为胎位异常及双胎等因素造成宫腔内压力改变。孕28~34周早产胎膜早破新生儿窒息率和死亡比明显高于孕34~37周。结论对于孕28~34周早产胎膜早破患者,宜采取期待疗法,以减少新生儿并发症的发生。预防性应用抗生素,选择合适分娩时机及方式,能获得良好妊娠结局。
Objective To investigate the pregnancy outcome of preterm premature rupture of membranes. Methods 86 cases of preterm premature rupture of membranes were retrospectively analyzed. Compare different gestational weeks on the impact of perinatal outcome. Results The main causes of fetal abnormalities and twins and other factors caused by intrauterine pressure changes. Premature rupture of membranes of premature rupture of membranes between 28 and 34 weeks of pregnancy, neonatal asphyxia and death rate was significantly higher than 34 to 37 weeks of pregnancy. Conclusion For patients with premature rupture of membranes in 28-34 weeks of pregnancy, expectant therapies should be taken to reduce the incidence of neonatal complications. Prophylactic antibiotics, choose the appropriate timing and mode of delivery, can get a good pregnancy outcome.