宫内感染控制不良致胎膜早破后引产一例并文献复习

Poor Control of Intrauterine Infection Leading to Premature Rupture of Membranes and Induced Abortion: A Case Report and Literature Review

摘要: 宫内感染指妊娠期妇女受到病原体侵入而导致的宫腔内胎儿感染。作为妊娠期的急性炎症反应性疾病，会导致流产、早产、胎儿畸形等较为严重的不良预后，严重影响母婴安全。近期市立医院收治一名孕中期合并宫内感染孕妇，经长时间积极治疗后感染难以控制继发胎膜早破，最终以中孕引产的不良结局告终。本篇将结合该案例及相关国内外文献，探讨其发病机制及诊治要点等，对临床工作具有一定的指导意义。

Abstract: Intrauterine infection refers to the infection of the fetus in the uterine cavity caused by the invasion of pathogens in pregnant women. As an acute inflammatory disease during pregnancy, it can lead to severe adverse outcomes such as miscarriage, premature birth, fetal malformations, and seriously affect the safety of mother and baby. Recently, a pregnant woman with intrauterine infection during middle pregnancy was admitted to the East Qingdao Municipal Hospital. After a long period of active treatment, the infection was difficult to control and the secondary premature rupture of the mem-branes ended in an adverse outcome of induced labor during middle pregnancy. This article will combine the case and relevant domestic and foreign literature to explore its pathogenesis and key points of diagnosis and treatment, which has certain guiding significance for clinical work.