论文部分内容阅读
目的:探讨妊娠合并梅毒临床诊治和妊娠结局以及新生儿情况之间的关系。方法:选取2014年1月至2015年2月我院收治的妊娠合并梅毒患者62例,对这62例患者展开一系列回顾性的研究和分析,观察62例患者的临床诊治情况。结果:经过观察研究,在62例妊娠合并梅毒患者当中,大部分患者年龄都在23-31岁之间,无业患者人数较多,大约50%的患者都曾经有过孕产史,主要包括潜伏期梅毒患者、一期梅毒患者以及二期梅毒患者,对应比率为87.10%、4.84%、8.06%,有11例患者进行活胎引产,40例患者进行系统化的抗梅毒临床治疗,这40例患者都没有出现婴儿死亡现象,也没有出现早产现象,出现先天梅毒性的产妇新生儿例数为7例,另外11例患者没有进行临床治疗,最终出现围生儿死亡结局、先天梅毒婴儿结局以及早产儿结局。结论:要想有效诊断妊娠合并梅毒患者,要重点对无业人群进行诊断,在妊娠合并梅毒患者当中,潜伏期梅毒患者占有比例比较高,对于妊娠合并霉素患者来说,要在孕早期进行诊断检查,尽早进行抗梅毒临床治疗,降低妊娠合并霉素患儿死亡率。
Objective: To investigate the relationship between clinical diagnosis and treatment of syphilis during pregnancy, pregnancy outcome and neonatal status. Methods: Sixty-two patients with syphilis during pregnancy were selected from January 2014 to February 2015 in our hospital. A series of retrospective studies and analyzes were conducted on the 62 patients, and the clinical diagnosis and treatment of 62 patients were observed. Results: After observing and researching, among 62 cases of pregnancy complicated with syphilis, most of the patients were between the ages of 23 and 31, and the number of unemployed patients was large. About 50% of the patients had had a history of pregnancy, including the incubation period Syphilis patients, syphilis patients and syphilis patients with secondary syphilis, the corresponding rates were 87.10%, 4.84%, 8.06%, 11 patients were live abortion and 40 patients were systematically treated with anti-syphilis, these 40 patients Neither infant mortality nor premature birth occurred. The number of neonates with congenital syphilis was 7 and the other 11 patients were not clinically treated. The outcome of perinatal death, congenital syphilis infants and preterm birth Children’s ending. Conclusion: To effectively diagnose pregnant patients with syphilis, it is necessary to focus on the diagnosis of unemployed people among pregnant patients with syphilis, the proportion of patients with latent period of syphilis is relatively high, for patients with gemcitabine pregnancy, the diagnosis should be carried out in early pregnancy , Early anti-syphilis clinical treatment, reduce the mortality of children with gemcitabine pregnancy.