产科并发症课件.ppt

LATERPREGNANCYCOMPLICATIONSDONGMEIHUDepartmentGynecologyObstetricsZhujiangHospitalSouthMedicalUniversity产科并发症

PrematuredeliveryProlongedpregnancyPrematureRuptureofMembranes

(PROM)Content产科并发症

PRETERMLABOR早产产科并发症

PretermLabor:Laboroccursafter28weeks’butbefore37weeks’(ie.196~258days)gestation.Infantsbornduringthesephaseareprematureinfants.Theprematureinfant’sweightisbetween1000and2499g.Theprognosisoftheprematureinfantiscorrelatedwithitsgestationalage,weight.Definition:产科并发症

PrematureinfantMatureinfant产科并发症

Etiology:1.Obstetriccomplications产科并发症2.Medicalcomplications内科并发症3.Surgicalcomplications外科并发症4.Genitaltractanomalies生殖道畸形产科并发症

1.Obstetriccomplications:SeverehypertensivestateorpregnancyAnatomicdisorderoftheplacenta(abruptioplacentae,placentaprevia)PrematureruptureofmembranesPolyhydramniosoroligohydramniosMultiplepregnancyPreviouslaceration（裂伤）ofcervixoruterus产科并发症

2.Medicalcomplications:PulmonaryorsystemichypertensionRenaldiseaseHeartdiseaseInfection:genitaltractinfection,urinarytractinfection,pyelonephritis肾盂肾炎,acutesystemicinfectionHeavycigarettesmokingAlcoholismordrugaddictionSevereanemia产科并发症

3.Surgicalcomplications:Conizationofcervix宫颈锥切术Previousincisioninuterusorcervix(cesareandelivery剖宫产术)4.GenitaltractanomaliesBicornuate双角,subseptate纵隔,orunicormuate单角uterusCongenitalcervicalincompetency先天性宫颈闭合不全产科并发症

ClinicalFindingDiagnosis1.SymptomandSignUterinecontractions—morethan2inone-halfhour;Vaginalbleeding-bloodymucousvaginaldischargeor“bloodyshow”;Dilatation扩张andeffacement消退ofcervix-changeindilatationoreffacementofatleast1cmoracervixthatiswelleffacedanddilatated(atleast2cm);产科并发症

2.LaboratoryStudiesCompletelybloodcountwithdifferentialCervixdischargecultures：shouldbesentforgonorrhea淋病andchlamydia衣原体.