Wu L F, Thomassen P
Beijing Obstetries and Gynecology Hospital.
Zhonghua Fu Chan Ke Za Zhi. 1994 Oct;29(10):578-81, 635.
During a four year period, 60 patients with premature rupture of membranes (PROM) met the inclusion criteria of having a single living fetus with gestational age between 25 to 36 weeks and more than 24 hours between PROM and delivery were admitted in Karolinska Hospital, Sweden. These cases were reviewed retrospectively. Five neonates died postnatally and the total survival rate was 91.7%. Three of them had major malformations and one died of hyaline membrane disease with 29 weeks of gestational age. In only one case the immediate cause of death was due to infection. The present protocol of expectant treatment for PROM in this hospital tends to be a minimum of unnecessary intervention for obtaining a high survival rate.
在四年期间，瑞典卡罗林斯卡医院收治了60例胎膜早破（PROM）患者，这些患者符合纳入标准，即单活胎、孕周在25至36周之间，且胎膜早破至分娩间隔超过24小时。对这些病例进行了回顾性分析。5例新生儿出生后死亡，总生存率为91.7%。其中3例有严重畸形，1例孕29周时死于透明膜病。只有1例死亡的直接原因是感染。该医院目前针对胎膜早破的期待治疗方案倾向于在获取高生存率方面尽量减少不必要的干预。
