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对1980.9～1982.8江苏省6个城市172例围产儿羊水吸入性肺炎临床病理多因素回归分析研究,以探讨其发病机制。目的是筛选能影响肺炎和羊水吸入的临床参数。结果:(1)男婴占52.91%,女婴47.09%。(2)组织学:肺的炎症和羊水大多数是混合性、弥漫性分布,病变较一致,纤维素渗出很少,这说明本病可能是在出生前或分娩过程中吸入感染的羊水所致。(3)影响本病发生的主要因素为剖腹产、胎吸术、羊水吸入以及胎龄。(4)影响羊水吸入性的因素为胎儿体重(4000g以上)和胎龄(42周以上)。而体重、胎龄和胎吸术又和产程延长有关。
A retrospective analysis was conducted on the clinicopathological factors of 172 cases of amniotic fluid aspiration pneumonia in 6 cities in Jiangsu Province during 1980.9 ~ 1982.8 to explore its pathogenesis. The goal is to screen for clinical parameters that affect pneumonia and amniotic fluid intake. Results: (1) 52.91% of male babies and 47.09% of female babies. (2) Histology: Most of the lung inflammation and amniotic fluid are mixed, diffuse distribution, more consistent lesions, less exudation of cellulose, indicating that the disease may be in the prenatal or during delivery of infection of amniotic fluid To (3) The main factors affecting the occurrence of this disease are caesarean section, fetal suction, amniotic fluid intake and gestational age. (4) The factors affecting the inhalation of amniotic fluid are fetal weight (4000g above) and gestational age (42 weeks). The weight, gestational age and fetal suction and prolonged labor process.