Joachin Roy H, Flores Nava G
Hospital de ginecoobstetricia Luis Castelazo Ayala, Unidad de Cuidados Intensivos Neonatales, Instituto Mexicano de Seguro Social, México, D.F.
Ginecol Obstet Mex. 1995 Mar;63:119-22.
The development of 77 neonates, with maternal premature membranes rupture in a neonatal intensive care unit was reviewed. Clinical characteristics, evolution, complications and mortality, as well as the risk factors for mortality were reviewed. The incidence was 25.8% in 298 neonates discharged, maternal age 25 + 6 years (X and standard deviation), number of gestations 2 + 1, maternal infection in 11 (14.2%), chorioamnioitis in 18 (23.3%), the ruptured membranes time was > 24 hours in 48%. Vaginal birth were 37.7%, and cesarean section 59.7%. Males predominated with 61%, gestational age 31 + 2 weeks, birth weight 1577 + 530. The three main morbidity causes were nosocomial pneumonia (44.1%), respiratory distress syndrome (39%), and intrauterine pneumonia (33.8%). By clinic and laboratory 3.8% neonates had septicemia, but only eight had some positive culture. Disease during pregnancy, vaginal birth, prematurity and neonatal sepsis were risk factors for mortality. Incidence of infants with PROM and neonatal sepsis is higher than majority of other reports. All premature neonates with PROM more; disease during pregnancy, vaginal birth, or neonatal sepsis, have high risk for mortality, then they need specially cares.
回顾了新生儿重症监护病房中77例母亲胎膜早破的新生儿的情况。对其临床特征、病情演变、并发症和死亡率以及死亡危险因素进行了回顾。在298例出院新生儿中，发病率为25.8%，母亲年龄25±6岁（均值和标准差），妊娠次数2±1次，11例（14.2%）母亲有感染，18例（23.3%）有绒毛膜羊膜炎，48%的胎膜破裂时间>24小时。阴道分娩率为37.7%，剖宫产率为59.7%。男性占61%，胎龄31±2周，出生体重1577±530。三个主要发病原因是医院获得性肺炎（44.1%）、呼吸窘迫综合征（39%）和宫内肺炎（33.8%）。通过临床和实验室检查，3.8%的新生儿有败血症，但只有8例培养结果呈阳性。孕期疾病、阴道分娩、早产和新生儿败血症是死亡的危险因素。胎膜早破和新生儿败血症婴儿的发病率高于大多数其他报告。所有胎膜早破的早产儿更多；孕期疾病、阴道分娩或新生儿败血症，死亡风险高，因此他们需要特别护理。
