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脓毒症终止妊娠时机及产科处理

赵诚 赵扬玉

中国实用妇科与产科杂志2026,Vol.42Issue(6):604-607,4.
中国实用妇科与产科杂志2026,Vol.42Issue(6):604-607,4.DOI:10.19538/j.fk2026060108

脓毒症终止妊娠时机及产科处理

Timing and obstetric management of terminating pregnancy in sepsis

赵诚 1赵扬玉1

作者信息

  • 1. 北京大学第三医院妇产科 国家妇产疾病临床医学研究中心 国家产科专业医疗质量控制中心,北京 100191
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摘要

Abstract

Pregnancy-associated sepsis is one of the serious complications of pregnancy;the timing and method of terminating the pregnancy have a direct impact on maternal and fetal outcomes,yet there remains considerable variation in clinical decision-making.This article reviews obstetric management strategies for pregnancy-associated sepsis,drawing on recent domestic and international guidelines and research advances.By integrating methods for assessing the severity of maternal condition and fetal viability,it clarifies the timing and methods of pregnancy termination for pregnancy-associated sepsis of different etiologies.Furthermore,it explores the decision-making criteria,timing,and key aspects of perioperative management of surgical interventions such as dilation and curettage,caesarean section,and hysterectomy.Overall,decisions regarding the termination of pregnancy in cases of pregnancy associated sepsis should be based on a dynamic assessment of the severity of the mother's condition and the viability of the fetus,and individualized management should be implemented within a multidisciplinary framework to maximize the safety of both mother and baby.

关键词

产科脓毒症/终止妊娠/围术期管理

Key words

obstetric sepsis/termination of pregnancy/perioperative management

分类

医药卫生

引用本文复制引用

赵诚,赵扬玉..脓毒症终止妊娠时机及产科处理[J].中国实用妇科与产科杂志,2026,42(6):604-607,4.

基金项目

首都卫生发展科研专项(首发2024-1-4094) (首发2024-1-4094)

北京大学第三医院临床重点项目(BYSYZD2022008) (BYSYZD2022008)

国家临床重点专科建设项目 Capital Health Development Research Program(2024-1-4094) (2024-1-4094)

Key Clinical Project of Peking University Third Hospital(BYSYZD2022008) (BYSYZD2022008)

National Key Clinical Specialty Development Program ()

中国实用妇科与产科杂志

1005-2216

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