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ID:9151562
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时间:2018-04-19
《梅毒感染孕妇发生围产儿死亡的临床分析及防治措施》由会员上传分享,免费在线阅读,更多相关内容在应用文档-天天文库。
1、梅毒感染孕妇发生围产儿死亡的临床分析及防治措施[]目的:研究20例感染梅毒的孕妇发生围产儿死亡的临床特点及探讨防治措施。方法:对2009年01月至2015年06月在东南大学附属第二医院收治的发生围产儿死亡的20例梅毒孕妇的临床资料进行回顾性分析。结果:发生围产儿死亡的梅毒孕产妇20例,12例(60%)孕产妇孕期未建卡,8例建卡中仅5例(20%)正常产检,且均行驱梅治疗。20例孕妇中16例(80%)无业,仅2例为大专以上学历。分娩前梅毒血清学高滴度(RPR≥l:8)的孕妇有15例,其中11例(73.3%)死婴为梅毒儿。低滴度(<1:8)的孕妇
2、有5例,仅有1例(20%)为梅毒儿。20例中有14例为死胎,其中有9例(64.3%)考虑胎传梅毒;6例新生儿死亡中3例(33.3%)具有梅毒儿的特征。结论:应加强人群健康教育和孕前孕期梅毒血清筛检管理,及时行驱梅治疗,努力将梅毒对妊娠的危害降至最低限度。[关键词]妊娠期梅毒围产儿死亡预防方法D0l:10.3760/cma.j.issn.0376-2491.2016.36.37作者单位:210003,江苏省南京市,东南大学附属第二医院妇产科通信作者:岳欣,Email:yuexintiantian@sohu.com。Theinvestigationo
3、fperinataldeathinpregnantwomenwithsyphilisanditspreventionmeasures(Aclinicalanalysisof20cases)WangYan,YueXin,DingYi,tangjuan,LiQianrui,Abstract:ObjectiveToinvestigatetheclinicalfeatures,preventivemeasuresofperinatalfetaldeathin20caseofpregnantwomenwithsyphilis.MethodsAlltheda
4、teofpregnantwomeninfectedwithsyphilisfromJanuary2009andJune2015inSecondAffiliatedHospitaloftheSoutheastUniversitywerecollectedandclinicalcharacteristicsof20casesofsyphilisinpregnantwomenwereanalyzedretrospectively.Results20casespregnantwomeninfectedwithsyphilisemergedperinata
5、lfetaldeath,12cases(60%)inpregnantwomenwasnotbuildingperinatalcards,only5casesof8buildingcards(20%)wasregularproductioninspection,andreceivedantisyphilitictreatment.16cases(80%)of20casespregnantwomenwasunemployed,only2casesweregraduatedfromjuniorcollegeorabove.Thereare15cases
6、ofpregnantwomenwithsyphilisserologyhightitersbeforedelivery(RPR≥l:8),ofwhich11cases(73.3%)childrendeadforsyphilis.Thereare5casesofpregnantwomenwithsyphilisserologylowtitersbeforedelivery(<l:8),ofwhichonly1case(20%)childrendeadforsyphilis.14casesisstillbirth,includingnin
7、ecases(64.3%)considercongenitalsyphilis;3casesof6casesofneonataldeaths(33.3%)hadsyphilischildcharacteristics.ConclusionWeshouldstrengthenhealtheducationandscreeningforsyphilismanagementbeforeandduringpregnancy,timelyantisyphilitictreatmentappearstoreducetheharmofsyphilis.Keyw
8、ords:Pregnancywithsyphilis;Perinatalfetaldeath;Preventionmethod梅毒(sy
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