梅毒感染孕妇发生围产儿死亡的临床分析及防治措施.docVIP

梅毒感染孕妇发生围产儿死亡的临床分析及防治措施 ［摘 要］目的：研究20例感染梅毒的孕妇发牛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：发牛围产 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(RPRge;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 牛儿死亡中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@ The investigati on of peri natal death in preg nant wome n with syphilis and its prevention measures (A clinical analysis of 20 cases ) Wang Yan, Yue Xin, Ding Yi, tangjuan, Li Qianrui, Abstract： Objective To investigate the clinical features, preventive measures of perinatal fetal death in 20 case of pregnant women with syphilis. Methods All the date of pregnant women infected with syphilis from January 2009 and June 2015 in Second Affiliated Hospital of the Southeast University were collected and clinical characteristics of 20 cases of syphilis in pregnant women were analyzed retrospectively. Results 20 cases pregnant women infected with syphilis emerged peri natal fetal death, 12 cases (60%) in preg nant wome n was not buildi ng peri natal cards, only 5 cases of 8 building cards (20%) was regular production inspection, and received antisyphilitic treatment .16 cases (80%) of 20 cases pregnant women was unemployed ,only 2 cases were graduated from junior college or above. There are 15 cases of pregnant women with syphilis serology high titers before delivery (RPRge;l: 8), of which 11 cases (73.3%) children dead for syphilis. There are 5 cases of pregnant women with syphilis serology low titers before delivery (lt;l: 8),of which only 1 case (20%) childre n dead for syphilis. 14 cases is stillbirth, in eluding nine cases (64.3%) con sider congen ital syphilis; 3 cases of 6 cases of neon ata I deaths(33.3%) had syphilis child charac