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急性绒毛膜羊膜炎威胁着母婴的安全,增加围产儿的病率和死亡率。Russell 等复习131例急性绒毛膜羊膜炎,产妇死亡率为3.8%。Gibbs 等报道合并绒毛膜羊膜炎者围产儿死亡率要高5～10倍。所以本病应列为围产期保健的重要内容之一。国内尚未见这方面的报道,兹将我院1977～1981年五年中收治并经病理诊断为急性绒毛膜羊膜炎者35例作一临床分析,以供参考。一、资料来源1977～1981年住院分娩总数18,850例,临床诊断为急性绒毛膜羊膜炎108例,占分娩总数的0.58%。临床诊断的依据是:产前或产时发热(体温达38℃或超过38℃),胎膜早破超过24小时,或滞产伴羊水混浊有臭味者。108例中,有35例于接产或剖腹产时
Acute chorioamnionitis threatens the safety of mothers and infants and increases the prevalence and mortality of perinatal children. Russell et al reviewed 131 cases of acute chorioamnionitis with a maternal mortality rate of 3.8%. Gibbs et al reported combined chorioamnionitis perinatal mortality rate is 5 to 10 times higher. Therefore, the disease should be listed as one of the important aspects of perinatal care. We have not seen this aspect of the report, we will hospital from 1977 to 1981 five years admitted to the pathological diagnosis of acute chorioamnionitis in 35 cases for a clinical analysis for reference. First, the sources of information 1977 to 1981 18,850 total number of hospital delivery, clinical diagnosis of acute chorioamnionitis 108 cases, accounting for 0.58% of the total number of deliveries. Clinical diagnosis is based on: prenatal or during fever (body temperature up to 38 ℃ or more than 38 ℃), premature rupture of membranes more than 24 hours, or stagnation with amniotic fluid turbid odor. Among the 108 cases, 35 were delivered at or during caesarean section