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中华产科急救电子杂志 ›› 2018, Vol. 07 ›› Issue (04) : 212 -215. doi: 10.3877/cma.j.issn.2095-3259.2018.04.005

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感染相关早产的防治
刘平1, 樊尚荣1,()   
  1. 1. 518036 深圳,北京大学深圳医院妇产科
  • 收稿日期:2018-08-13 出版日期:2018-11-18
  • 通信作者: 樊尚荣
  • 基金资助:
    深圳市科创委基础研究项目(JCYJ20160428175005906)

Prevention and treatment of infection­related preterm birth

Ping Liu1, Shangrong Fan1()   

  • Received:2018-08-13 Published:2018-11-18
  • Corresponding author: Shangrong Fan
引用本文:

刘平, 樊尚荣. 感染相关早产的防治[J]. 中华产科急救电子杂志, 2018, 07(04): 212-215.

Ping Liu, Shangrong Fan. Prevention and treatment of infection­related preterm birth[J]. Chinese Journal of Obstetric Emergency(Electronic Edition), 2018, 07(04): 212-215.

羊膜腔感染是感染相关早产的重要影响因素。羊膜腔感染后炎症引起子宫收缩或伴胎膜早破,导致早产;炎症同时引起胎儿缺氧和死胎。早产儿感染后可发生呼吸窘迫综合征、缺氧缺血性脑病和脑瘫。本文对感染相关早产的发病机制和防治策略进行阐述。

Intra-amniotic infection is an important influencing factor of infection-related preterm birth. Inflammation of intra-amniotic infection can cause uterine contraction or premature rupture of membranes, which leads to premature labor; inflammation also causes fetal hypoxia and stillbirth. In addition, respiratory distress syndrome, hypoxic ischemic encephalopathy and cerebral palsy occur in preterm infants after infection.

图1 感染相关早产的发病机制。羊膜腔感染分为4期:A.下生殖道感染;B.绒毛膜羊膜感染;C.羊水感染;D.胎儿感染。HIE:缺氧缺血性脑病;RDS:呼吸窘迫综合征
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