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1992年对孕27～36周胎膜早破单胎孕妇行羊膜穿刺羊水细菌培养研究,其中包括绒毛膜羊膜炎症状病例(产妇发热、胎心偏快)。首次羊膜穿刺前不用抗生素,疑有胎膜早破则行二胺氧化酶(DAO)检查,研究包括:阴道分泌物培养、血常规,CRP、B超引导下尽早羊膜腔穿刺,羊水培养包括直接细胞学检查、革兰氏染色、需氧及厌氧菌培养10人。一年中分娩新生儿8000人,孕37周前胎膜早破率为1％,只有羊水培养发现细菌菌落时才根据药敏用抗生素,如无羊水感染征象,可用β受体兴奋剂抑制宫缩及皮质激素治疗,一旦细菌培养性则停用宫缩抑
1992, 27-36 weeks of pregnancy, unilateral rupture of membranes rupture of amniotic fluid amniotic fluid amniotic fluid bacterial culture studies, including chorioamnionitis cases (maternal fever, fast fetal heart rate). The first amniocentesis without antibiotics, suspected premature rupture of membranes is the line of diamine oxidase (DAO) examination, studies include: vaginal secretions culture, blood, CRP, B ultrasound as early as possible amniocentesis, amniotic fluid culture including direct Cytological examination, Gram stain, aerobic and anaerobic bacteria culture of 10 people. One year, 8,000 newborns were delivered, and the rate of premature rupture of membranes was 37% 37 weeks before pregnancy. Only when antibacterial agents were used were found in amniotic fluid culture, Corticosteroid therapy, contraindication of contractions once bacterial culture