紧急子宫颈环扎术后脓毒症的危险因素分析与防控策略OA
Risk factor analysis and prevention strategies for postoperative sepsis following emergency cervical cerclage
紧急子宫颈环扎术是具有侵入性的救援性手术操作,术前已经存在的隐匿性羊膜腔炎症或感染是术后发生脓毒症的重要原因.已证实的羊膜腔感染,疑似羊膜腔炎症或感染的情况,子宫颈扩张超过4 cm、胎膜膨出至阴道等情况会增加术后脓毒症发病风险,应予重视.规范的术前评估、术中操作和术后监测方案,可以降低术后脓毒症的发生率.提高对脓毒症的警惕性,根据临床表现、实验室特征早期识别;合理使用广谱抗生素,适时终止妊娠等及时干预,是防控紧急环扎术后脓毒症的重要举措.
Emergency cervical cerclage is an invasive surgical procedure for rescue,where pre-existing occult amniotic cavity inflammation/infection serves as a significant risk factor for postoperative sepsis.Established amniotic cavity infections,suspected amniotic cavity inflammation/infection;cervical dilation exceeding 4 cm,and fetal membrane protrusion into the vagina can increase the risk of postoperative sepsis and warrant close attention.Standardized preoperative evaluation,intraoperative procedures,and postoperative monitoring protocols can reduce the incidence of postoperative sepsis.Enhanced vigilance for sepsis,early identification based on clinical manifestations and laboratory characteristics,rational use of broad-spectrum antibiotics,and timely interventions such as pregnancy termination when indicated are critical measures for preventing sepsis following emergency cerclage.
连岩
青岛大学附属山东省妇幼保健院产科,山东济南 250014||国家卫生健康委母胎医学重点实验室,山东济南 250014
医药卫生
紧急子宫颈环扎术脓毒症危险因素规范管理
emergency cervical cerclagesepsisrisk factorsstandardized management
《中国实用妇科与产科杂志》 2026 (6)
589-592,4
National Key R&D Program of China(2024YFC2707500) 国家重点研发计划(2024YFC2707500)
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