贵州医科大学学报

1986, (01) 54-58

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利用发烧指数探讨剖宫产后感染的危险因素
APPLICAION OF FEVER INDEX IN INVESTIGATION ON RISK FACTORS FOR PUERPERAL INFECTION AFTER CESAREAN SECTION

杨世琦;夏良树;屠国春;
Yang Shiqi Dep.of Obs.& Gyn.

摘要(Abstract):

观察我院妇产科1976~1980年剖宫产后感染的167例,平均产后感染率为21.49%。用发烧指数分析,破膜>20小时及破膜>12小时并滞产为产后感染的高危因素,破膜>12小时、滞产、产后流血、贫血、产程开始和阴道检查是剖宫产后的中危因素。严格掌握剖宫产指征,对有危险因素的病例施行腹膜外剖宫术,恰当应用抗菌素是预防产后感染的主要措施。
Post cesarean section infection of 167 cases in our hospital-are reported. The average puerperal infection rate was 21.49%.we discussed especially the risk factors and the prevention of post cesarean section infection. According to the fever index,the duration of fetal membrane rupture over 20 hours,and over 12 hours associated with prolonged labor considered as high risk factors of post cesarean section infection,the rupture of fetal membrane over 12 hours,prolonged labor,postpartum hemorrhage,anemia and vaginal examination were the secondary risk factors.By using of prophylactic antibio- tics,control indication of cesarean section strictly and using extraperitoneal cesarean section for high risk cases would decrease the infectious rate.

关键词(KeyWords): 发烧指数;产褥期感染;剖腹产术
Fever index;Puerperal infection;Cesarean section

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作者(Author): 杨世琦;夏良树;屠国春;
Yang Shiqi Dep.of Obs.& Gyn.

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DOI: 10.19367/j.cnki.1000-2707.1986.01.018

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