Bittencourt Achiléa Lisboa, Garcia Aparecida Gomes Pinto
Department of Pathology, Federal University of Bahia, Brazil.
Pediatr Pathol Mol Med. 2002 Jul-Aug;21(4):401-32. doi: 10.1080/152279502760157768.
Although congenital infections have been known since ancient times, at present they constitute an evolution due to the broadening of diagnostic methods. Also, the histopathological examination of selected placentas has increased in perinatal pathology. All placentas should be examined grossly by the obstetrician or the neonatologist who must select the specimens to be sent for pathologic examination. The indications for selection at delivery to detect hematogenous infection are listed in Table 1. The placentas that do not meet guidelines for pathologic examination must be kept stored at 40 degrees C for at least 72 h. This routine ensures that the placentas of asymptomatic newborns who might present early manifestations suggestive of infection would be submittedfor pathologic examination.
虽然先天性感染自古以来就为人所知,但目前由于诊断方法的拓宽,它们构成了一种演变。此外,围产期病理学中对选定胎盘的组织病理学检查有所增加。所有胎盘都应由产科医生或新生儿科医生进行大体检查,他们必须选择要送去做病理检查的标本。分娩时选择检测血源性感染的指征列于表1。不符合病理检查指南的胎盘必须在4℃下保存至少72小时。这一常规操作可确保将可能出现提示感染早期表现的无症状新生儿的胎盘送去做病理检查。