妊娠合并潜伏梅毒的临床分析推荐到首页 □ 《中华实用医药杂志》2004年第05期1/4页1234
【关键词】妊娠合并
【摘要】目的探讨妊娠合并潜伏梅毒的临床特点、早期诊断及妊娠结局，以降低先天梅毒的发生。方法回顾性分析2002年1月1日～12月31日我院收治的5例妊娠合并潜伏梅毒的临床资料。结果妊娠合并潜伏梅毒的患者无任何症状和体征，仅在产前常规梅毒血清学检查时发现。5例患者中死胎2例，胎儿有先天梅毒临床表现;早产、足月产各1例为新生儿先天梅毒;另1例患者梅毒感染时间考虑在4周以内，产后1月母亲复查时确诊潜伏梅毒，但新生儿未被感染;5例患者中仅1列孕期经规则抗梅毒治疗，但新生儿先天梅毒。结论妊娠合并潜伏梅毒的早期诊断主要依据血清学检查，确诊梅毒感染后应规则治疗或终止妊娠，以降低先天梅毒的发生。关键词潜伏梅毒早期诊断妊娠结局先天梅毒
latentsyphilisinpregnancywomen:analysisof5cases
jiangying，chenchen
departmentofobstetricsandgynecology，beijingchaoyanghospitalaffiliated
tothecapitaluniversityofmedicalsciences，beijing100020.
【abstract】objectivetoinvestigateclinicalcharacter，earlydiagnosisandpregnacyoutcomeoflatentsyphilisinpregnacywomen.methods5casesoflatentsyphilisinpregnacywomenduringjan.1，2002todec.31，2002wereretrospectivelyanalysed.resultspregnacylatentsyphiliscanbediagnosedthrougharoutinescreensyphilis.becausepatientsdidnotpresentanysymptom.therewere2casesoffetalintrauterinedeath，1caseofpremaˉturebirth，2caseofmaturitybirthamongthe5cases.the2babieswithfetalintranterinedeathhadclinicalcharacterofsyphilis，2casesofcongenitalsyphilis，1caseofhealthmaturingbirth.the1babywithmanturitybirth，whosemortheracceptedfull-dosetreatmentagainstsyphilisduringpregnancy.thebabywasinfectedsyphilisyet.concluˉsiontheearlydiagnosisofpregancylatentsyphilisisbasedonserologicalassays.whensyphilisinfectionwerediagˉnosed，itisespeciallyimportanttodoregularandearlytreatmentduringpregnacyortostoppregnacy.congenitalsyphiliscanbewellcontrolled.
keywordslatentsyphilisearlydiagnosispregnancyoutcomecongenitalsyphilis
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