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[合法堕胎与止血。组织学检查及与产后止血的比较(作者译)]

[Legal abortion and hemostasis. Histological examinations and comparison to post partum hemostasis (author's transl)].

作者信息

Slunsky R

出版信息

Arch Gynakol. 1976 Apr 29;220(4):325-38. doi: 10.1007/BF00673418.

Abstract

30 women were examined to determine the hemostasis during the legally induced abortion. The blood coagulated in the intervillous spaces while the fetus is removed. Immediately after the termination of the curettment the nidation area is covered by filaments of fibrin and incorporated erythrocytes. More frequent as post partum platelet thrombi occur especially in the area of decidua parietalis. The intravascular findings are similar to post partum changes after the removal of the placenta. Obstruction clots of the spiral arterioles contain fibrin deposits, pletelet thrombi and erythrocytes (mixed form of thrombi). Residual decidua and trophoblast cells are seldom involved in the obturation of the vessels. The traumatic damages of the uterine wall are described (extravascular fibrin deposits, interstitial bleeding, succulent tissue a.s.o.).

摘要

对30名女性进行了检查,以确定合法人工流产期间的止血情况。在取出胎儿时,绒毛间隙中的血液发生凝固。刮宫结束后,着床部位立即被纤维蛋白丝和掺入的红细胞覆盖。产后血小板血栓更频繁出现,尤其是在子宫壁蜕膜区域。血管内的发现与胎盘娩出后的产后变化相似。螺旋小动脉的阻塞性凝块含有纤维蛋白沉积物、血小板血栓和红细胞(混合血栓形式)。残留的蜕膜和滋养层细胞很少参与血管的闭塞。描述了子宫壁的创伤性损伤(血管外纤维蛋白沉积、间质出血、肉质组织等)。

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