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目的:探讨羊水粪染与胎盘病检结果的关系。方法:对我科2015年2月到8月分娩时因羊水Ⅰ~Ⅲ度粪染行胎盘病理检查的284例临床病历进行回顾性分析。结果:在284例羊水粪染病例中,胎盘病理检查有绒毛膜羊膜炎病例约59.51%。结论:羊水粪染与绒毛膜羊膜炎密切相关,绒毛膜羊膜炎引起绒毛及血管病变是导致羊水粪染、胎儿窘迫、新生儿窒息原因之一。在临床工作中对羊水粪染病例应常规行胎盘病理检查,有利于诊断及指导产妇和新生儿的治疗,也可减少医疗纠纷的发生。
Objective: To investigate the relationship between meconium-stained amniotic fluid and placental disease. Methods: A retrospective analysis was performed on 284 cases of placenta pathological examination due to amniotic fluid Ⅰ ~ Ⅲ degree meconium during labor from February to August 2015 in our department. Results: In 284 cases of amniotic fluid meconium infection, there were 59.51% cases of chorioamnionitis in placenta pathology examination. Conclusion: Meconium amniotic fluid is closely related to chorioamnionitis. Chorioamnionitis is one of the causes of chorioallantoic meningitis, fetal distress and neonatal asphyxia. In clinical practice of meconium-stained amniotic fluid should be routine pathological examination of the placenta, is conducive to the diagnosis and guidance of maternal and neonatal treatment, but also reduce the incidence of medical disputes.