Emmrich P
Institut für Pathologische Anatomie, Bereiches Medizin, Karl-Marx-Universität, Leipzig, BRD.
Zentralbl Pathol. 1991;137(1):2-13.
In Part IV of this review of placental pathology, reference is made to impaired maturation of the placenta under special clinical conditions. Foetal erythroblastosis is only of minor importance, in that context, today, while similar placental alterations may result from foetal hydrops of different genesis, including immunological causes. A detailed account is given of diabetic impairment of maturation together with possible placental diagnosis of diabetes. Cases of diabetes mellitus with concomitant EPH gestosis were found to be more strongly determined for placental differentiation by EPH gestosis. Reference, finally, is made to disturbed placental differentiation under conditions of EPH gestosis with or without concomitant impairment of intervillous circulation.
在本次胎盘病理学综述的第四部分,提到了在特殊临床情况下胎盘成熟受损的情况。在这种背景下,胎儿成红细胞增多症如今已不太重要,而不同成因(包括免疫原因)的胎儿水肿可能导致类似的胎盘改变。文中详细阐述了糖尿病对成熟的损害以及糖尿病可能的胎盘诊断。发现伴有EPH妊娠高血压综合征的糖尿病病例,其胎盘分化更强烈地由EPH妊娠高血压综合征决定。最后提到了在伴有或不伴有绒毛间隙循环受损的EPH妊娠高血压综合征情况下胎盘分化紊乱。