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目的探讨早产并胎膜早破,期待疗法延长孕周,对母儿的影响。方法2005年1月至2006年1月泰安市妇幼保健院妇产科早产并胎膜早破83例,严密动态观察期待疗法延长孕周。结果胎膜破裂至临产开始的时间最短20小时,最长19天,平均7.2天。5例孕妇体温升高,治疗后转为正常。新生儿窒息12例,<32周21例,窒息8例,其中死亡3例,孕周均<30周;>32周62例,窒息4例。结论早产并胎膜早破期待疗法延长孕周,适时终止妊娠,可降低早产儿的发病率及死亡率,且对母亲是安全的。
Objective To explore premature rupture of membranes and premature rupture of membranes, expectant treatment to extend gestational age, the impact on mother and child. Methods From January 2005 to January 2006, 83 cases of premature rupture of membranes and obstetrics and gynecology in Maternal and Child Health Hospital of Tai’an City were observed. Results rupture of membranes to the onset of labor the shortest 20 hours, a maximum of 19 days, an average of 7.2 days. 5 cases of pregnant women, body temperature increased to normal after treatment. Neonatal asphyxia in 12 cases, <32 weeks in 21 cases, 8 cases of asphyxia, including 3 cases of death, gestational age <30 weeks;> 62 weeks in 32 cases, 4 cases of asphyxia. Conclusions Preterm premature rupture of membranes and premature rupture of membranes to extend the gestational age, timely termination of pregnancy, can reduce the morbidity and mortality of premature children, and the mother is safe.