CAJ | 학술논문

目的：分析并研究妊娠晚期未足月胎膜早破的临床特点。方法选取我院收治的202例妊娠晚期未足月胎膜早破患者作为研究对象，对所有患者给予常规治疗，分析患者胎膜早破的原因，研究患者分娩方式和新生儿的出生情况。结果造成妊娠晚期未足月胎膜早破的原因是多方面的，最主要的原因是阴道炎，本研究组68例患者基于此原因（33.66%）；其次是胎位不正，患者有27例（13.37%）；原因不明的患者65例（32.18%）。本研究新生儿死亡18例，死亡率为8.91%，其中有11例新生儿死于重度窒息，还有7例死于肺部感染。结论妊娠晚期未足月胎膜早破主要由生殖道感染、胎位不正等因素造成，我们应为产妇选择合适的分娩方式，减少产妇和新生儿的安全隐患。
목적：분석병연구임신만기미족월태막조파적림상특점。방법선취아원수치적202례임신만기미족월태막조파환자작위연구대상，대소유환자급여상규치료，분석환자태막조파적원인，연구환자분면방식화신생인적출생정황。결과조성임신만기미족월태막조파적원인시다방면적，최주요적원인시음도염，본연구조68례환자기우차원인（33.66%）；기차시태위불정，환자유27례（13.37%）；원인불명적환자65례（32.18%）。본연구신생인사망18례，사망솔위8.91%，기중유11례신생인사우중도질식，환유7례사우폐부감염。결론임신만기미족월태막조파주요유생식도감염、태위불정등인소조성，아문응위산부선택합괄적분면방식，감소산부화신생인적안전은환。
ObjectiveTo analyze the clinical characteristics of late pregnancy and preterm premature rupture of membranes.Methods 202 cases of late pregnancy PPROM patients as the research object, given conventional treatment to all patients, analysis of the reasons for premature rupture of membranes, study the mode of delivery and birth status of patients with newborn.Results The causes of late pregnancy with preterm premature rupture of membranes are in many aspects, the main reason is the vaginitis, The study group of 68 patients based on this reason (33.66%), followed by the malposition, patients have 27 cases, (13.37%), 65 cases of unexplained patients (32.18%). In this study, neonatal death in 18 cases, the mortality rate was 8.91%, 11 cases died of severe asphyxia neonates among them, and 7 cases died of pulmonary infection.ConclusionLate preterm pregnancy is mainly composed of reproductive tract infection, malposition and other factors, we should choose the appropriate mode of delivery for the pregnant, reduce security risks for mothers and newborns.