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目的探讨胎膜早破的处理方法原则。方法选取2012年3月~2014年3月期间收治的30例发生胎膜早破患者处理方法进行分析。结果顺产19例,难产11例,其中阴道助产1例,剖宫产10例。难产原因先露未衔接7例,头盆不对称4例。结论胎膜早破妊娠35周前,羊水流出量少,无感染者期待疗法。妊娠35周以上或接近预产期产程自然发动者,无需干预,待其自然分娩,但应注意脐带脱垂的发生。
Objective To explore the principle of treatment of premature rupture of membranes. Methods Thirty patients with premature rupture of membranes who had been treated during the period from March 2012 to March 2014 were analyzed. Results of 19 cases of spontaneous delivery, dystocia in 11 cases, of which 1 case of vaginal delivery, cesarean section in 10 cases. The causes of dystocia revealed no convergence in 7 cases, 4 cases of head basin asymmetry. Conclusion premature rupture of membranes 35 weeks before pregnancy, amniotic fluid outflow of less, no infection expectant therapy. Pregnant 35 weeks or more or near the onset of spontaneous labor, without intervention, pending natural childbirth, but should pay attention to the occurrence of umbilical cord prolapse.