目的探讨胎膜早破的正确处理及其对母、胎的影响。方法本组对48例胎膜早破患者进行严密观察,根据破膜距入院时间及破膜时的孕周时间,予以终止妊娠或延续妊娠处理。结果48例中自然分娩28例,其中早产9例;剖宫分娩20例,其中头位难产6例,妊高征5例,胎儿窘迫4例,臀位5例。本组无新生儿死亡发生。结论胎膜早破患者应尽早入院治疗,根据胎膜早破的处理原则,做出最佳处理。 Objective To investigate the correct treatment of premature rupture of membranes and its impact on mother and fetus. Methods The group of 48 cases of premature rupture of membranes were closely observed, according to the rupture of membranes from the time of admission and rupture of the gestational week, to terminate the pregnancy or extend the pregnancy treatment. Results Of the 48 cases, 28 were delivered spontaneously, 9 were premature, and 20 were delivered by cesarean section. Among them, 6 were dystocia, 5 were PIH, 4 were fetal distress and 5 were breech. No neonatal death occurred in this group. Conclusion Patients with premature rupture of membranes should be hospitalized as soon as possible, according to the principle of premature rupture of membranes to make the best treatment.