Davidson K M
Division of Maternal-Fetal Medicine, University of Florida, Gainesville 32610.
Clin Obstet Gynecol. 1991 Dec;34(4):715-22. doi: 10.1097/00003081-199112000-00007.
One of the most common problems an obstetrician faces is evaluation of a patient for PROM. Proper assessment of the patient requires a careful integration of history, physical examination, and clinical testing. The most commonly used tests are analysis of vaginal pH with nitrazine paper and evaluation of vaginal secretions with the arborization test. When history, nitrazine, and arborization testing are used in combination, 90% of cases will be diagnosed correctly. When the diagnosis is questionable, other modalities, including ultrasound evaluation and intraamniotic dye injection, should be used as indicated.
产科医生面临的最常见问题之一是对胎膜早破患者进行评估。对患者进行正确评估需要仔细整合病史、体格检查和临床检测。最常用的检测方法是用硝嗪试纸分析阴道酸碱度以及用树枝状试验评估阴道分泌物。当病史、硝嗪试纸检测和树枝状试验联合使用时，90%的病例能得到正确诊断。当诊断存疑时，应根据需要使用其他方法，包括超声评估和羊膜腔内染料注射。
