【摘要】 目的 探讨早产合并胎膜早破(preterm premature rupture of membranes，PPROM)的易发因素、临床处理及妊娠结局。 方法 对71例PPROM进行回顾性分析。 结果 77.47%的PPROM有易发因素存在，孕28～34 +6 周PPROM新生儿发病率明显高于孕35～36 +6 周者。 结论 对于孕28～34 +6 周PPROM宜采取期待疗法，以减少新生儿合并症的发生。

    关键词 早产 胎膜早破 围产儿

    Analysis of71cases of preterm premature rupture of membranes

    Hu Yanlai，Li Xiaotian，Gu Yu

    Obstetrics and Gynecology Hospital of Fudan University，Shanghai200011.

    【Abstract】 Objective To evaluate the risk factors，clinical management and pregnancy outcome in pregnancy complicatedwith preterm premature rupture of membranes(PPROM).Methods From January2003to December2003，retrospective study was done on71cases of PPROM.Results Risk factors existed in77.47%cases.The mor-bidity of neonate delivered between28and35weeks'gestation was significantly higher(33/39，84.62%)than that delivered between35and36weeks'gestation(13/39，33.33%)(P<0.01).Conclusion Pregnancy between28and35weeks'gestation with PPROM should be managed expectantly to reduce neonatal complications.

    Key words premature delivery premature rupture of membranes perinatal ......