Muzykantova V S, Serov V N, Shilenkova V I, Vtiurin B V, Nevzorov O B
Akush Ginekol (Mosk). 1990 Aug(8):26-30.
A clinical and morphological analysis has been done using 24 obstetric histories of mothers with hemorrhagic shock (HS) and autopsy protocols of fetuses and newborns who died ante-, intra- or postpartum. Maternal HS was related to placenta previa and presented as a poor general status and microcirculatory disorders, respiratory and adrenal insufficiency. Histologic and electron microscopic studies showed fetal and neonatal lesions in organs and tissues which might be interpreted as irreversible shock. Reduction of neonatal mortality dictates further efforts in the prevention of hemorrhagic complications in parturients.
对24例患有出血性休克(HS)的母亲的产科病史以及产前、产时或产后死亡胎儿和新生儿的尸检记录进行了临床和形态学分析。产妇HS与前置胎盘有关,表现为一般状况差、微循环障碍、呼吸和肾上腺功能不全。组织学和电子显微镜研究显示,器官和组织中的胎儿和新生儿病变可被解释为不可逆性休克。降低新生儿死亡率要求在预防产妇出血并发症方面做出进一步努力。