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胎膜早破的诊断与处理指南(2015)

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Author:: No author available

Journal Title:: Chinese Journal of Obstetrics and Gynecology

Issue:: 1

DOI:: 10.3760/cma.j.issn.0529-567x.2015.01.002

Key Word:: No keyword available

Abstract：胎膜早破(premature rupture of membrane,PROM)是指胎膜在临产前发生自发性破裂,依据发生的孕周分为足月PROM和未足月PROM(preterm premature rupture of membrane,PPROM).足月单胎PROM发生率为8％;单胎妊娠PPROM发生率为2％～4％,双胎妊娠PPROM发生率为7％～20％,PPROM是早产的主要原因之—[1-4].PROM的诊治,尤其是PPROM的处理策略,一直是产科临床工作中的棘手问题.目前,国内对于不同孕周PPROM的处理原则缺乏共识;对于足月PROM短时间内未临产者是否引产及引产方法等问题尚存在争议;对于PPROM期待治疗的处理、保胎期限、如何预防感染、终止妊娠方式等问题尚无统一的指南或规范.

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