Gibbs R S, Castillo M S, Rodgers P J
Am J Obstet Gynecol. 1980 Mar 15;136(6):709-13. doi: 10.1016/0002-9378(80)90445-7.
Acute chorioamnionitis has been recognized as a major threat to both mother and fetus, but there has been little study of its therapy. On this service, the plan of management consists of parenteral, broad-spectrum antibiotic therapy and prompt action to effect delivery. Cesarean section was generally performed only when there were additional obstetric indications. No arbitrary time limit was set for the diagnosis-to-delivery interval. The perinatal mortality rate was increased fourfold, but few deaths could be attributed to infection. Maternal outcome was usually good following vaginal delivery and more complicated following abdominal delivery. Over 90% of patients were delivered within 12 hours of diagnosis of chorioamnionitis.
急性绒毛膜羊膜炎已被公认为对母亲和胎儿的主要威胁，但对其治疗的研究很少。在本医疗服务中，管理计划包括胃肠外广谱抗生素治疗以及迅速采取措施实现分娩。剖宫产通常仅在有其他产科指征时进行。对于诊断至分娩的间隔时间没有设定任意的时间限制。围产期死亡率增加了四倍，但很少有死亡可归因于感染。阴道分娩后母亲的结局通常良好，而剖宫产分娩后则更复杂。超过90%的患者在诊断绒毛膜羊膜炎后的12小时内分娩。
