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目的:探讨晚期妊娠合并性病,包括梅毒、淋病、支原体、沙眼衣原体、尖锐湿疣感染的危害及结局。方法:(1)采取妊娠28周以上孕妇羊水及宫颈分泌物做病原体培养或PCR技术检测;(2)取生殖器活组织做病理检查,并,给予相应的处理。结果:36例性病患者,22人治愈,11人好转,3人无变化。新生儿30人中有5人患性病性结膜炎,2例肺炎,10例早产,4例IUGR,1例死亡。结论:晚期妊娠合并性病对母亲可造成胎膜早破,早产,宫内感染并可通过血源及垂直传播对胎婴儿造成IUGR及先天性性病。
Objective: To investigate the risk and outcome of complications of late pregnancy complicated with sexually transmitted diseases, including syphilis, gonorrhea, mycoplasma, chlamydia trachomatis and genital warts. Methods: (1) Take the pregnant women with amniotic fluid and cervical secretions during pregnancy for more than 28 weeks for pathogen detection or PCR detection; (2) Take the living tissue of the genitals for pathological examination and give corresponding treatment. Results: Of the 36 STD patients, 22 were cured, 11 were improved, and 3 were unchanged. Five of the 30 newborns were affected by venereal disease, 2 with pneumonia, 10 with preterm birth, 4 with IUGR, and 1 with death. CONCLUSIONS: Late pregnancy complicated with sexually transmitted diseases can cause premature rupture of membranes, premature labor and intrauterine infection in mothers. It can cause IUGR and congenital sexually transmitted diseases to the baby through blood supply and vertical transmission.