Gilstrap L C, Cox S M
Department of Obstetrics and Gynecology, University of Texas Southwestern Medical Center, Dallas.
Obstet Gynecol Clin North Am. 1989 Jun;16(2):373-9.
In summary, acute intra-amniotic infection or chorioamnionitis is a relatively common complication of pregnancy and may be associated with significant maternal and neonatal morbidity. Maternal mortality is rare, as is mortality in term infants. Mortality in premature infants is probably related to prematurity itself rather than infection per se. Diagnosis is based primarily on the presence of maternal fever. Treatment consists of antibiotics and delivery. Antibiotics should be begun as soon as the diagnosis is made unless delivery is imminent (less than 1 hour). Cesarean section offers no specific advantage to the fetus and may carry increased risk to the mother.
总之，急性羊膜腔内感染或绒毛膜羊膜炎是一种相对常见的妊娠并发症，可能伴有严重的母婴发病率。孕产妇死亡率罕见，足月儿死亡率也低。早产儿的死亡可能与早产本身有关，而非感染本身。诊断主要基于产妇发热。治疗包括使用抗生素和分娩。一旦确诊应立即开始使用抗生素，除非即将分娩（少于1小时）。剖宫产对胎儿没有特别优势，且可能增加母亲的风险。
