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胎膜早破是产科常见的并发症,也是难产的先兆表现,处理不当可造成不良后果,严重影响母婴健康。为探讨其防治方法,本文对100例胎膜早破病例作回顾性总结分析。对于胎膜早破病例终止妊娠的时间选择,应根据孕周的长短处理有所不同。在处理过程中应注意的问题是:①应避免阴道检查,以防止羊膜炎等感染的发生;②如无胎位异常、头盆不称,临产后产程可顺利进展,如有胎位异常等情况,宜作剖宫产;③抗生素不宜作常规应用,但破膜后24小时内仍不能临产分娩,宜给抗生素。文中分析胎膜早破发生的原因,强调加强围产期管理及卫生宣教工作的重要性,以防止胎膜早破的发生。
Premature rupture of membranes is a common complication of obstetrics, but also a harbinger of precursors, improper handling can cause adverse consequences, seriously affecting the health of mothers and children. To explore its prevention and treatment methods, this paper 100 cases of premature rupture of membranes made a retrospective analysis. The timing of pregnancy termination of premature rupture of membranes should be based on the length of gestational age treatment is different. Should pay attention to the problems in the treatment process: ① vaginal examination should be avoided in order to prevent the occurrence of amniotic infection; ② If there is no abnormal fetal position, head basin is not known, labor can progress smoothly after labor, if fetal abnormalities and so on, Should be used for cesarean section; ③ antibiotics should not be used routinely, but still can not give birth within 24 hours after rupture of childbirth, should give antibiotics. The article analyzes the causes of premature rupture of membranes, emphasizing the importance of strengthening perinatal management and health education mission to prevent the occurrence of premature rupture of membranes.