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近年来,为了母婴诊断与治疗,在产期抽取脐带血样,这种操作常发生并发症已有报道。Daffos等做了有关并发症的报道,胎儿总丢失率为2%,经取样后的流产率为0.8%,死胎为1.1%。然此报道中未提及感染和预防性抗菌素的应用。本文报道1例来源于脐带穿刺后β-溶血性链球菌感染所致的宫内死胎,前此尚无报道。回顾本例应慎重考虑应用抗菌素的问题。目前作者在所有脐带穿刺后的患者中均给以预防性抗菌素,未再发生感染的并发
In recent years, in order to maternal and child diagnosis and treatment, umbilical cord blood samples drawn during the delivery period, complications of this operation have been reported. Daffos and other reports of complications, the total loss of the fetus was 2%, after sampling, the abortion rate was 0.8% and the stillbirth was 1.1%. However, this report does not mention the use of infections and prophylactic antibiotics. This article reports a case of intrauterine fetal death due to β-hemolytic streptococcal infection after umbilical cord puncture, which has not been reported before. This example should be reviewed with caution regarding the use of antibiotics. At present, the authors give prophylactic antibiotics in all patients after umbilical cord puncture, with no recurrence of infection