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羊水栓塞的细胞学诊断:一项批判性重新评估

The cytologic diagnosis of amniotic fluid embolism: a critical reappraisal.

作者信息

Giampaolo C, Schneider V, Kowalski B H, Bellaver L A

出版信息

Diagn Cytopathol. 1987 Jun;3(2):126-8. doi: 10.1002/dc.2840030207.

DOI:10.1002/dc.2840030207
PMID:3595411
Abstract

In an attempt to assess the extent to which contamination by exogenous squamous cells contributes to false-positive results in the cytologic diagnosis of amniotic fluid embolism, blood sampled from the right heart or from the pulmonary artery of 42 nonpregnant cardiac patients was processed and examined for squames. Despite a variety of precautions, it proved impossible to eliminate contamination in any of these specimens. In addition, two of three blank slides that were stained with maximal precaution also demonstrated squames. The authors conclude that cytologic techniques are not helpful in the diagnosis of amniotic fluid embolism and should no longer be utilized.

摘要

为了评估外源性鳞状细胞污染在羊水栓塞细胞学诊断中导致假阳性结果的程度,对42名非妊娠心脏病患者的右心或肺动脉采集的血液进行了处理,并检查其中的鳞状上皮细胞。尽管采取了各种预防措施,但事实证明无法消除这些样本中的污染。此外,在采取最大预防措施染色的三张空白载玻片中,有两张也显示有鳞状上皮细胞。作者得出结论,细胞学技术对羊水栓塞的诊断没有帮助,不应再使用。

相似文献

1
The cytologic diagnosis of amniotic fluid embolism: a critical reappraisal.羊水栓塞的细胞学诊断:一项批判性重新评估
Diagn Cytopathol. 1987 Jun;3(2):126-8. doi: 10.1002/dc.2840030207.
2
Cytologic diagnosis of amniotic fluid embolism. Report of a case with a unique cytologic feature and emphasis on the difficulty of eliminating squamous contamination.羊水栓塞的细胞学诊断。一例具有独特细胞学特征病例的报告及对消除鳞状上皮污染困难的强调。
Acta Cytol. 1986 Mar-Apr;30(2):177-82.
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Cytologic diagnosis of amniotic fluid embolus. Report of a case.羊水栓塞的细胞学诊断。病例报告。
Acta Cytol. 1979 Nov-Dec;23(6):465-6.
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[The detection of karyo-cornified cells in the peripheral blood of amniotic fluid embolism patients--a report of 3 cases (author's transl)].羊水栓塞患者外周血中核化生细胞的检测——附3例报告(作者译)
Zhonghua Fu Chan Ke Za Zhi. 1979;14(3):162-3.
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Is amniotic fluid material in the central circulation of peripartum patients pathologic?围产期患者中心循环中的羊水物质是否具有病理性?
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引用本文的文献

1
Amniotic fluid embolism.羊水栓塞
Indian J Crit Care Med. 2009 Jul-Sep;13(3):129-35. doi: 10.4103/0972-5229.58537.
2
Amniotic fluid embolism: an evidence-based review.羊水栓塞:一项基于证据的综述。
Am J Obstet Gynecol. 2009 Nov;201(5):445.e1-13. doi: 10.1016/j.ajog.2009.04.052.