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本文对300例围产儿的临床和尸解材料进行分析。结果表明感染在围产儿死亡原因中占首位,宫内窒息为第二位,畸形为第三位,肺功能异常为第四位,妊娠中毒症为第五位。感染中主要是死于肺炎,占300例中的26.67%。因此如何控制肺部感染,提高诊断和治疗水平为降低围产儿死亡的重要环节之一。文中对围产儿肺炎进行了组织学分类,将肺炎分为急性弥漫性肺炎(即先天性吸入性肺炎),支气管肺炎,间质性肺炎和其他少见类型。通过胎免吸入性肺炎的动物模型进一步阐述了以新生儿胎盘和脐带的冰冻切片看胎盘和脐带有无炎症是有助于肺炎诊断的快而可靠的方法。
In this paper, 300 cases of perinatal clinical and autopsy material analysis. The results showed that infection accounted for the first cause of perinatal deaths, asphyxia second place, third deformity, fourth place for lung dysfunction, pregnancy poisoning as the fifth. Infection is mainly due to pneumonia, accounting for 26.67% of 300 cases. Therefore, how to control the pulmonary infection and improve the level of diagnosis and treatment to reduce one of the important aspects of perinatal death. Perinatal pneumonia was histologically categorized and classified as acute diffuse pneumonia (congenital aspiration pneumonia), bronchopneumonia, interstitial pneumonia, and other rare types. The animal model of fetal aspiration pneumonia further elaborates on the use of frozen sections of neonatal placenta and umbilical cord to see if there is inflammation in the placenta and umbilical cord and is a quick and reliable method to diagnose pneumonia.