早产并胎膜早破146例临床分析

目的探讨早产与胎膜早破的原因，预防和恰当处理早产和胎膜早破，降低未产而死亡率。方法对我院1999～2004年收治的146例早产合并胎膜早破患者的临床资料进行回顾性分析。结果采用硫酸舒喘灵、硫酸镁抑制宫缩，应用抗生素预防感染，地塞米松促胎肺成熟等治疗，尽可能让妊娠延续到34w以上，可减少围产儿RDS发生及围产儿死亡率。结论预防早产和恰当处理胎膜早破是减少围产儿死亡的关键所在。

Clinical analysis of 146 patients of premature rupture of membrane.

Objective To investigate the cause of premature delivery and premature rupture of membrane. To reduce mortality of pregnant women and fetals before delivery by preventing premature delivery and premature rupture of membrane from happening and treating them properly.Methods To retrospective analyse 146 patients suffered from premature rupture of membrane who were in our hospital, during 1999 to 2004. Results Try our best to continue pregnancy days for at least 34 weeks by using Salbutamol and Magnesium Sulfate to restrain uterine contraction , using antibiotics to prevent infection and using Dexamethasone to promote fetal lung mature degree. We could reduce the incidence and perinatal mortality of RDS of perinatal infants by taking these measures.Conclusions The key of reducing perinatal mortality was preventing premature delivery and treating premature rupture of membrane properly.