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[女性产后缺乳早期诊断的生理学验证]

[A physiological validation for the early diagnosis of hypogalactia in women].

作者信息

Skopichev V G, Gaĭdukov S N

出版信息

Fiziol Zh SSSR Im I M Sechenova. 1991 May;77(5):92-6.

PMID:1724969
Abstract

Colostrum cell composition observed during the first 24 hrs following delivery objectively reflects the degree of prelactation preparation of the breast. The state of neutrophilic leucocytes appeared to be the most informative in this respect. In normal lactation, maximal number of neutrophilic leucocytes was found during the first 24 hrs after delivery. The leucocyte inflow to the colostrum is highly increased in hypogalactia. Leucocytes aggregation which is the most characteristic for normal lactation did not occur in hypogalactia. The activity of alkaline phosphatase and myeloperoxidase of leucocytes is much higher in normal lactation and much lower in hypogalactia. The evaluation of alkaline phosphatase activity and sudanophilic lipids content shows no differences related to the lactation level.

摘要

分娩后最初24小时内观察到的初乳细胞组成客观地反映了乳房泌乳前准备的程度。在这方面,嗜中性白细胞的状态似乎最具参考价值。在正常泌乳情况下,分娩后最初24小时内嗜中性白细胞数量最多。乳汁分泌不足时,初乳中的白细胞流入量会大幅增加。乳汁分泌不足时不会出现正常泌乳最典型的白细胞聚集现象。正常泌乳时白细胞的碱性磷酸酶和髓过氧化物酶活性要高得多,而在乳汁分泌不足时则低得多。碱性磷酸酶活性和嗜苏丹脂质含量的评估结果显示,与泌乳水平无关。

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