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未足月胎膜早破是指在妊娠37周内发生的胎膜破裂,其发生率为3%,未足月胎膜早破引起严重的围生期疾病,包括呼吸窘迫综合征、新生儿毒血症、脐带脱垂、胎盘早剥和胎儿死亡。恰当的评估和管理在改善新生儿预后方面起着重要作用。采用窥器检查确定宫颈的扩张情况为首选检查方法,因为指检会缩短潜伏期并产生其他不利因素。应根据妊娠时间采取不同的治疗方案。皮质类固醇可以减少新生儿并发症,特别是心室内出血和呼吸窘迫综合征,而抗菌药物有利于延长潜伏期。
Premature rupture of membranes is defined as the rupture of the membranes that occurs within 37 weeks of gestation and occurs at a rate of 3%. Premature rupture of membrane premature rupture of membranes causes severe perinatal conditions including respiratory distress syndrome, neonatal Sepsis, umbilical cord prolapse, placental abruption and fetal death. Proper evaluation and management play an important role in improving the prognosis of newborns. The use of speculum examination to determine the expansion of the cervix as the preferred method of examination, because the inspection will shorten the incubation period and other adverse factors. Should be based on gestational time to take a different treatment options. Corticosteroids can reduce neonatal complications, especially intraventricular hemorrhage and respiratory distress syndrome, and antibacterial drugs help to extend the incubation period.