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胎膜早破(PROM)为常见的分娩并发症,破膜后宫腔及胎儿的感染增加了对孕妇和胎儿的危险。正确处理早产胎膜早破对防治感染和提高胎儿成活度更为重要。本文对35例早产胎膜早破的病史和诱因进行了分析,认为其发生可能与细菌上行感染有关。对早产胎膜早破的处理,应积极控制感染,争取在胎儿肺成熟后即行引产。早产胎膜早破如≥30周且无感染者可采取等待疗法,或估计胎儿体重在1500g 以上者经48～72小时的治疗促其肺成熟后,可选择剖腹产分娩。
Premature rupture of membranes (PROM) is a common complications of childbirth, uterine rupture of the fetus and the fetus increased the risk of pregnant women and fetuses. Proper premature rupture of membranes to prevent infection and improve fetal survival is more important. In this paper, 35 cases of premature rupture of membranes of premature rupture of the disease and incentives were analyzed that the incidence may be related to bacterial infection. Premature rupture of premature rupture of membranes should be actively controlled infection, strive to lead the fetus in the lungs after induction of labor. Premature rupture of membranes such as ≥ 30 weeks and no infection can be taken to wait for treatment, or estimated fetal weight in more than 1500g after 48 to 72 hours of treatment to promote their lung maturity, the choice of cesarean delivery.