首页|期刊导航|中国实用妇科与产科杂志|产时发热中宫内感染的溯源诊断与全流程管理

产时发热中宫内感染的溯源诊断与全流程管理OA

Etiological traceability diagnosis and whole-process management of intrauterine infection in intrapartum fever

中文摘要英文摘要

产时发热是产科常见急症,宫内感染(IAI)(以绒毛膜羊膜炎为核心)是其主要致病因素,可导致母儿不良结局风险显著升高.精准溯源诊断与规范化全流程管理是改善预后的关键.文章基于临床指南与循证医学证据,从病原学溯源、分层诊断策略、全周期管理路径(预防-干预-产后随访)3个维度,系统阐述产时发热中IAI的诊疗要点,强调病原学检测技术的临床应用价值与多学科协作的重要性,为产科临床实践提供参考.

Intrapartum fever is a common emergency in obstetrics.Intrauterine infection(with chorioamnionitis as the core)is the main pathogenic factor,which can significantly increase the risk of adverse outcomes for both the mother and the fetus.Accurate etiological traceability diagnosis and standardized whole-process management are the key to improving prognosis.Based on clinical guidelines and evidence-based medical evidence,this article systematically elaborates on the key points of diagnosis and treatment of intrauterine infection in intrapartum fever,emphasizing the clinical application value of pathogen detection techniques and the importance of multidisciplinary collaboration in order to provide a reference for obstetric clinical practice.

何怡潇;黄振宇;陈敦金

广州医科大学附属第三医院妇产科,广东 广州 510150清华大学北京清华长庚医院,北京 102218广州医科大学附属第三医院妇产科,广东 广州 510150||广东省产科重大疾病重点实验室,广东 广州 510150||广东省妇产疾病临床医学研究中心,广东 广州 510150||粤港澳母胎医学高校联合实验室,广东 广州 510150

医药卫生

产时发热宫内感染溯源诊断全流程管理绒毛膜羊膜炎

intrapartum feverintrauterine infectionetiological traceability diagnosiswhole-process managementchorioamnionitis

《中国实用妇科与产科杂志》 2026 (4)

406-410,5

国家重点研发计划(2022YFC2704500)国家自然科学基金(82171666) National Key Research and Development Programme of China(2022YFC2704500)National Natu-ral Science Foundation of China(82171666)

10.19538/j.fk2026040106

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