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梅毒抗体血清学检查阳性的孕妇包含妊娠期梅毒,不等同妊娠期梅毒。未经治疗的梅毒孕妇可发生胎儿自然流产、非免疫性水肿、发育不良、死产、早产、出生低体重、新生儿死亡和胎传梅毒。产前检查尤其是前2~3个月,正确的诊断和适当处置梅毒抗体血清学检查阳性孕妇是完全可以达到良好的临床结局。出现不良结果的主要原因是孕妇不进行产前检查或产前检查在孕后3个月。
Pregnant women with positive syphilis antibody serological tests include gestational syphilis, which is not the same as gestational syphilis. Untreated syphilis in pregnant women can occur spontaneous abortion, non-immune edema, stunting, stillbirth, premature birth, low birth weight, neonatal death and syphilis. Prenatal examination, especially in the first 2 to 3 months, the correct diagnosis and proper treatment of syphilis antibodies serological positive pregnant women can achieve good clinical outcomes. The main reason for adverse outcomes is that pregnant women do not undergo prenatal or antenatal care at 3 months of pregnancy.