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[围产期宫内感染]

[Intrauterine infections in the perinatal period].

作者信息

Tsinzerling A V, Kalashnikova E P

出版信息

Arkh Patol. 1979;41(10):49-54.

PMID:227348
Abstract

The results of examinations of autopsy materials in Leningrad and the data from the literature indicate that infectious diseases occupy a significant place in perinatal mortality. It is emphasized that if the autopsy materials are not sufficiently examined using not only light but also immunofluorescent microscopy, a considerable portion of these infections is not diagnosed and the pathological proprocess in such cases in considered to be aspiration pneumonia, hyaline membrane disease, etc. The paper briefly characterizes intrauterine bacterial infections (listeriasis, syphilis, staphylococcal infections, etc.) with special reference to virus diseases (cytomegaly, herpes infection, lesions caused by respiratory viruses, etc) and mycoplasmosis. It is shown that a relatively high incidence of lesions is caused by respiratory viruses and particularly mycoplasma. The possibility of protozoan and mycotic lesions is also indicated. The frequent occurrence of combined intrauterine infections is emphasized.

摘要

列宁格勒尸检材料的检查结果及文献数据表明,传染病在围产期死亡率中占重要地位。需要强调的是,如果仅使用光学显微镜而非免疫荧光显微镜对尸检材料进行充分检查,相当一部分此类感染将无法被诊断出来,而这些病例中的病理过程被认为是吸入性肺炎、透明膜病等。本文简要描述了宫内细菌感染(李斯特菌病、梅毒、葡萄球菌感染等),特别提及了病毒疾病(巨细胞病毒感染、疱疹感染、呼吸道病毒引起的病变等)和支原体感染。结果表明,呼吸道病毒尤其是支原体导致的病变发生率相对较高。文中还指出了原生动物和霉菌感染病变的可能性。强调了宫内混合感染的频繁发生。

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