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[母血清中C反应蛋白与胎膜早破及先兆早产时胎儿感染风险]

[C-reactive protein in the maternal serum and risk of fetal infection in premature rupture of the fetal membranes and threatened premature labor].

作者信息

Hirsch W, Koppitz D, Morack G, Gerhardt C

机构信息

Frauenklinik, Klinikums Berlin-Buch.

出版信息

Zentralbl Gynakol. 1989;111(21):1411-6.

PMID:2603583
Abstract

In order to find out whether, in the framework of our obstetrical management, determinations of the C-creative protein (CRP) in maternal serum enables recognition of incipient intra-uterine infections, regular controls of the CRP level were performed in 129 patients with premature rupture of membranes and impending premature labour. The maternal CRP levels and the simultaneously determined total leukocyte counts and band counts were compared with the frequency of neonatal infectious diseases up to the 3rd day of life. None of the infants were affected whose mothers never had values above 10.0 mg/l. If he maternal CRP values exceeded the 10.0 mg/l limit, then 6.3%-57.1% of the newborns were affected depending on their birth weight. Therefore, the prepartal CRP diagnosis can, especially in infants with low birth weight, help to determine the risk of infection.

摘要

为了查明在我们的产科管理框架内,测定母血中的C反应蛋白(CRP)是否能够识别早期宫内感染,我们对129例胎膜早破且即将早产的患者进行了CRP水平的定期监测。将母血CRP水平以及同时测定的总白细胞计数和杆状核细胞计数与出生后3天内新生儿感染性疾病的发生率进行了比较。母亲CRP值从未超过10.0mg/L的婴儿均未受到感染。如果母亲CRP值超过10.0mg/L的界限,则根据出生体重不同,有6.3%-57.1%的新生儿受到感染。因此,产前CRP诊断,尤其是对于低出生体重儿,有助于确定感染风险。

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