CAJ | 학술논문

目的：分析晚期妊娠合并丹毒的发病因素、临床表现、诊治及母儿预后。方法：回顾性分析7例晚期妊娠合并丹毒患者的临床资料。结果：7例丹毒患者中，5例患有足癣；7例均有患肢红、肿、热、痛、边界清楚等典型临床表现，结合辅助检查均可明确诊断。5例给予青霉素治疗，2例应用头孢曲松治疗，同时7例均给予硫酸镁局部湿敷，并积极治疗合并症。产后治疗效果显著，母儿均预后良好，无明显合并症。结论：尽早确诊晚期妊娠合并丹毒，及时进行全身及局部同期治疗并适时终止妊娠，可明显改善母儿预后。
목적：분석만기임신합병단독적발병인소、림상표현、진치급모인예후。방법：회고성분석7례만기임신합병단독환자적림상자료。결과：7례단독환자중，5례환유족선；7례균유환지홍、종、열、통、변계청초등전형림상표현，결합보조검사균가명학진단。5례급여청매소치료，2례응용두포곡송치료，동시7례균급여류산미국부습부，병적겁치료합병증。산후치료효과현저，모인균예후량호，무명현합병증。결론：진조학진만기임신합병단독，급시진행전신급국부동기치료병괄시종지임신，가명현개선모인예후。
Aim:To analyze the etiology , clinical manifestations , diagnosis , therapy , maternal and perinatal progno-sis of late pregnant complicated with erysipelas .Methods:The clinical data of 7 patients with late pregnancy complicated with erysipelas were collected and retrospectively analyzed .Results:Among all the patients , 5 cases had athlete's foot;all the patients had typical clinical manifestations such as redness , swelling, heat, pain, and definite boundary , and diagnosis could be made combined with the auxiliary examination .5 cases were treated with penicillin and 2 cases, with ceftriaxone, at the same time, all accepted topical application of magnesium sulfate treatment , and complications were actively treated . The treatment effect was remarkable after delivery , mother and baby both had good prognosis .Conclusion:Early diagno-sis, systemic and local treatment at the same time , and timely termination of pregnancy , can obviously improve the mater-nal and perinatal prognosis .