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新生儿败血症尸检相关组织形态学发现:一项叙述性综述

Autopsy-related histomorphological findings in neonatal sepsis: a narrative review.

作者信息

Johnson July Mary, Mathew Mary

机构信息

Centre for Foetal and Perinatal Pathology, Department of Pathology, Kasturba Medical College Manipal, Manipal Academy of Higher Education, Manipal, Karnataka, India.

出版信息

Forensic Sci Med Pathol. 2025 Jan 6. doi: 10.1007/s12024-024-00936-y.

DOI:10.1007/s12024-024-00936-y
PMID:39760817
Abstract

Neonatal sepsis is an important concern in the field of neonatology, contributing significantly to morbidity and mortality among newborns worldwide. Despite progress in medical care, the accurate diagnosis and comprehension of the pathological underpinnings of neonatal sepsis continue to present challenges. Conventional diagnostic autopsy (CDA) provides unique opportunities to gain insights into the histomorphological alterations associated with neonatal sepsis. There is a paucity of literature regarding autopsy-related histomorphological features in neonatal sepsis in various organs. This narrative review aims to glean data from published literature concerning autopsy-related histomorphological findings in neonatal sepsis, which would aid in understanding organ-related pathological changes and assisting pathologists in determining the exact cause of death.

摘要

新生儿败血症是新生儿学领域的一个重要问题,在全球范围内对新生儿的发病率和死亡率有重大影响。尽管医疗护理取得了进展,但新生儿败血症的准确诊断和对其病理基础的理解仍然面临挑战。传统诊断尸检(CDA)为深入了解与新生儿败血症相关的组织形态学改变提供了独特的机会。关于新生儿败血症在各个器官中与尸检相关的组织形态学特征的文献较少。本叙述性综述旨在从已发表的文献中收集有关新生儿败血症与尸检相关的组织形态学发现的数据,这将有助于理解器官相关的病理变化,并协助病理学家确定确切的死亡原因。

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本文引用的文献

1
Community perceptions of postmortem examination and minimally invasive tissue sampling in neonates:a qualitative study in South India.社区对新生儿尸检和微创组织采样的看法:印度南部的一项定性研究。
BMC Pregnancy Childbirth. 2023 Nov 21;23(1):804. doi: 10.1186/s12884-023-06123-1.
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Insight Into Neonatal Sepsis: An Overview.新生儿败血症概述
Cureus. 2023 Sep 19;15(9):e45530. doi: 10.7759/cureus.45530. eCollection 2023 Sep.
3
Bone Marrow Changes in Septic Shock: A Comprehensive Review.脓毒症休克时的骨髓变化:综述
Cureus. 2023 Jul 26;15(7):e42517. doi: 10.7759/cureus.42517. eCollection 2023 Jul.
4
Superficial Dermatophytosis in Early Neonatal Period: Two Uncommon Cases.新生儿早期浅表皮肤癣菌病:两例罕见病例
Indian Dermatol Online J. 2023 Apr 4;14(3):434-436. doi: 10.4103/idoj.idoj_350_22. eCollection 2023 May-Jun.
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Risk factors for neonatal sepsis among neonates in the neonatal intensive care unit at Hawassa University Comprehensive Specialized Hospital and Adare General Hospital in Hawassa City, Ethiopia.埃塞俄比亚阿瓦萨市阿瓦萨大学综合专科医院和阿达雷综合医院新生儿重症监护病房新生儿发生败血症的危险因素。
Front Pediatr. 2023 Apr 17;11:1092671. doi: 10.3389/fped.2023.1092671. eCollection 2023.
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The Endothelial Glycocalyx and Neonatal Sepsis.内皮糖萼与新生儿脓毒症。
Int J Mol Sci. 2022 Dec 26;24(1):364. doi: 10.3390/ijms24010364.
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Lancet Glob Health. 2022 May;10(5):e661-e672. doi: 10.1016/S2214-109X(22)00043-2.
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Cause of Death in Neonates With Neurological Insults in the Neonatal Intensive Care Unit: Insights From A MITS Pilot Study.新生儿重症监护病房中存在神经损伤的新生儿的死亡原因:来自 MITS 初步研究的见解。
Clin Infect Dis. 2021 Dec 15;73(Suppl_5):S408-S414. doi: 10.1093/cid/ciab857.
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necrotizing bronchopneumonia.坏死性支气管肺炎
Autops Case Rep. 2021 May 6;11:e2021271. doi: 10.4322/acr.2021.271. eCollection 2021.
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Diagnostics (Basel). 2020 Oct 20;10(10):849. doi: 10.3390/diagnostics10100849.