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本文的目的是介绍一个关于诊断胎膜早期破裂的新方法,胎膜早期破裂的问题,奋力研究已久。其所以重要,乃因为妊娠中并发早期破膜时常足以增加母体的发病率及胎儿的死亡率。1929年休尔采(MargaretSchulze)氏曾报告,在600个病例中有10%病人从自然破膜更分娩开始,其间有24小时以上的隐伏期。她发现,由于感染之故,胎儿的死亡率有明显的增加;母体的死亡率虽没有增加,但母体的发病率约增加20%。莫顿(Morton)氏及其同事们也作了同样的观察,并指出假若破膜发生在妊娠36周以前,则其隐伏期尚不止24小时。最近,考尔金斯(Caikins)氏温习了连续7000
The purpose of this article is to introduce a new method for diagnosing early rupture of the membranes, a problem of early rupture of membranes, and a longstanding effort. Its important, because early pregnancy complicated by rupture of membranes often enough to increase the incidence of maternal and fetal mortality. In 1929 Margaret Schulze had reported that in 600 cases, 10% of patients started spontaneous rupture of membranes with more than 24 hours of incubation. She found that as a result of infection, there was a significant increase in fetal mortality, while maternal mortality did not increase but maternal morbidity increased by about 20%. Morton and colleagues also made the same observation, noting that if the rupture occurred 36 weeks before gestation, it would have been more than 24 hours behind. Recently, Caikins reviewed a continuous 7,000