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目的:探析妊娠晚期未足月胎膜早破患者的有效治疗方法以及对妊娠结局的影响。方法:选择我院于2013年3月至2014年3月期间收治的55例未足月胎膜早破孕妇作为研究对象进行回顾性分析,患者采用期待疗法进行治疗,观察两组孕妇的分娩方式以及妊娠结局。结果:55例患者中,41例患者为阴道分娩,所占比例为74.54%,其余14例为剖宫产。新生儿共有4例新生儿死亡,原因分别为宫内感染、肺炎、早产重度窒息,所占比例为7.27%。结论:妊娠晚期未足月胎膜早破会对母婴均造成较大威胁,因此其治疗过程中需要正确处理胎膜早破、胎儿肺发育不良,合理利用糖皮质激素、抗生素并采用合适分娩方式非常关键,以此来可以有效降低新生儿死亡率,改善妊娠结局。
Objective: To investigate the effective treatment of preterm premature rupture of membranes and its effect on pregnancy outcome in late pregnancy. Methods: A total of 55 pregnant women with incomplete premature rupture of membranes who were treated in our hospital from March 2013 to March 2014 were retrospectively analyzed. The patients were treated with expectant therapy and the mode of delivery was observed As well as pregnancy outcomes. Results: Of the 55 patients, 41 were vaginal deliveries, accounting for 74.54%. The remaining 14 were cesarean. A total of 4 neonates died of newborns, the reasons were intrauterine infection, pneumonia, premature birth severe asphyxia, accounting for 7.27%. Conclusion: Premature rupture of membranes in late trimester will cause a serious threat to both mother and baby. Therefore, it is necessary to correctly deal with premature rupture of membranes, fetal lung dysplasia, rational use of glucocorticoids and antibiotics and appropriate delivery The way is crucial, in order to reduce neonatal mortality and improve pregnancy outcomes.