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作者介绍82例因围产期病危死于生后7天以内婴儿的尸解病理材料。31例(37.8%,Ⅰ组心肌中可见一处或多处缺血性心肌坏死(IMN);27例的损害累及乳头肌顶部、中部及基底部的中央或心内膜下。前乳头肌为受损的最常见部位,亦可累及后乳头肌。乳头肌损害常伴有同侧或对侧心室壁的相似损害。心房或室间隔肌深部未见损害。生后10小时内死亡而被剔除的婴儿中,无一例有肯定的此类心肌损害。另51例为Ⅱ组。
The author describes 82 cases of perinatal death due to death in infants within 7 days after the autopsy pathological materials. Thirty-one patients (37.8%) had ischemic myocardial necrosis (IMN) one or more in the myocardium of group I. The lesions of 27 patients involved the central or subendocardial of the top, middle and basal papillary muscles.The anterior papillary muscles were The most common site of impingement also affects the posterior papillary muscle, which is often accompanied by similar damage to the ipsilateral or contralateral ventricular wall, with no damage to the deep atrium or ventricular septum, and is rejected within 10 hours of death Of the infants, no case of such myocardial damage has been affirmed.The other 51 cases were group Ⅱ.