中国伤残医学
中國傷殘醫學
중국상잔의학
CHINESE JOURNAL OF TRAUMA AND DISABILITY MEDICINE
2014年
19期
13-14
,共2页
妊娠%丹毒%妊娠结局
妊娠%丹毒%妊娠結跼
임신%단독%임신결국
Pregnancy%Erysipelas%Pregnancy outcomes
目的：总结妊娠合并下肢丹毒的病因，治疗及母儿预后。方法：对2010年1月～2013年8月西安市第五医院产科收治的21例妊娠合并下肢丹毒患者的临床资料进行回顾性分析。结果：（1）21例患者均发生于妊娠中晚期，平均发病孕周30．85±2．85周（27～34＋5周）；（2）合并症多见，21例患者中合并妊娠期高血压疾病3例，合并糖尿病2例，合并足癣7例，孕妇超体重2例；（3）因受原发病影响，平均分娩孕周36．95±2．85周（35～40＋2周），母儿均存活。结论：妊娠合并下肢丹毒较少见，一旦确诊，在积极治疗原发病的同时，及时控制感染，并局部对症处理，避免感染进一步扩散与加重，加强与外科，麻醉科及新生儿科的联系，尽可能的延长孕周，改善母儿预后情况。
目的：總結妊娠閤併下肢丹毒的病因，治療及母兒預後。方法：對2010年1月～2013年8月西安市第五醫院產科收治的21例妊娠閤併下肢丹毒患者的臨床資料進行迴顧性分析。結果：（1）21例患者均髮生于妊娠中晚期，平均髮病孕週30．85±2．85週（27～34＋5週）；（2）閤併癥多見，21例患者中閤併妊娠期高血壓疾病3例，閤併糖尿病2例，閤併足癬7例，孕婦超體重2例；（3）因受原髮病影響，平均分娩孕週36．95±2．85週（35～40＋2週），母兒均存活。結論：妊娠閤併下肢丹毒較少見，一旦確診，在積極治療原髮病的同時，及時控製感染，併跼部對癥處理，避免感染進一步擴散與加重，加彊與外科，痳醉科及新生兒科的聯繫，儘可能的延長孕週，改善母兒預後情況。
목적：총결임신합병하지단독적병인，치료급모인예후。방법：대2010년1월～2013년8월서안시제오의원산과수치적21례임신합병하지단독환자적림상자료진행회고성분석。결과：（1）21례환자균발생우임신중만기，평균발병잉주30．85±2．85주（27～34＋5주）；（2）합병증다견，21례환자중합병임신기고혈압질병3례，합병당뇨병2례，합병족선7례，잉부초체중2례；（3）인수원발병영향，평균분면잉주36．95±2．85주（35～40＋2주），모인균존활。결론：임신합병하지단독교소견，일단학진，재적겁치료원발병적동시，급시공제감염，병국부대증처리，피면감염진일보확산여가중，가강여외과，마취과급신생인과적련계，진가능적연장잉주，개선모인예후정황。
Objective:To summarize the causes of pregnancy with erysipelas in legs , treatment, mother and fetus'prognosis.Meth-ods:Clinical data of 21 pregnant women with erysipelas in the legs in the fifth hospital of Xi'an from Jan 2010 to Aug 2013 was analyzed retrospectively.Results:1 Erysipelas all occurred in the middle and late pregnancy period in the 21 patients, and the average gestational age of onset was 30.85 ±2.85 weeks(27~34+5weeks);2.Complications, there were three cases combined with gestational hyper-tension, two cases combined with diabetes , seven cases combined with tinea pedis and two cases of overweight respectively.3.Due to the primary disease, the average delivery gestational age was 36.95 ±2.85 weeks (35~40+weeks), however , all the mother and fetus were alived.Conclusion:The morbidity of erysipelas in the legs of pregnant women is relatively rare , once diagnosed, infection control and symptomatic treatments should be performed while active treatment of the primary disease is provided to avoid further degen-eration, in addition, contact of surgery, anaesthesiology and neonatology department should be strengthened to extend gestational age , and improve the prognosis .
