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[关于胎膜早破炎症并发症的管理——我们的经验]

[Management of preterm prelabor rupture of membranes with respect to the inflammatory complications - our experiences].

作者信息

Kacerovský M, Musilová I

出版信息

Ceska Gynekol. 2013 Dec;78(6):509-13.

Abstract

OBJECTIVE

Preterm prelabor rupture of membranes is responsible for approximately one third of all preterm deliveries. The most common complications associated with this pregnancy pathology are microbial invasion of the amniotic cavity, intraamniotic inflammation, intraamniotic infection and histological chorioamnionitis. This article explains these complicatioss and their relation to the optimal management of preterm prelabor rupture of membranes.

DESIGN

Overview study.

SETTING

Department of Obstetrics and Gynecology, Charles University in Prague, Faculty of Medicine and University Hospital Hradec Kralove.

METHODS

To analyze current knowledge and our own experiences regarding inflammatory complications of preterm prelabor rupture of membranes.

CONCLUSION

Inflammatory complications of preterm prelabor rupture of membranes are associated with risk of development of early onset sepsis. Nevertheless, gestational age is a main confounder affecting neonatal morbidity and mortality.

摘要

目的

胎膜早破约占所有早产的三分之一。与这种妊娠病理相关的最常见并发症是羊膜腔微生物入侵、羊膜腔内炎症、羊膜腔感染和组织学绒毛膜羊膜炎。本文解释了这些并发症及其与胎膜早破最佳管理的关系。

设计

综述研究。

单位

布拉格查理大学医学院妇产科、赫拉迪茨克拉洛韦大学医院。

方法

分析关于胎膜早破炎症并发症的现有知识和我们自己的经验。

结论

胎膜早破的炎症并发症与早发型败血症的发生风险相关。然而,孕周是影响新生儿发病率和死亡率的主要混杂因素。

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