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低体重新生儿的宏观胎盘状况与出生后状态之间的关系。对胎盘相关病理学的贡献(作者译)

[Relationships between the macroscopic placentary condition and postnatal state of underweight neonates. A contribution to the correlational pathology of the placenta (author's transl)].

作者信息

Ruckhäberle K E, Viehweg B, Ruckhäberle B, Schlegel C, Leistner B, Ebert S, Schulz S

出版信息

Zentralbl Gynakol. 1978;100(4):226-34.

PMID:654660
Abstract

Results of macroscopic examinations of placentae, which were obtained under routine clinical conditions for a total of 615 underweight neonates, were checked for their capability of a respiratory distress syndrome, and perinatal mortality. Evidence was obtained for a (partially statistically significant) trend showing that, within individual gestatory age groups and for equal weights of babies, premature infants born in the period up to and including the thirty-fifth week of gestation and having relatively low placental weights premature babies born during the thirty-sixth week of pregnancy, and hypotrophic babies born at term and showing a relatively heigh weight of the placenta are particularly exposed to a number of dangers in the further postnatal course of life. The clinical importance of these results to attending neonatologists is pointed out. Other conditions. such as the form of attachment of the umbilical cord of the nature of allantochorial vasculature, were not found to be closely related to the parameters studied in this investigation.

摘要

对在常规临床条件下获取的615例低体重新生儿的胎盘进行宏观检查,检查其与呼吸窘迫综合征及围产期死亡率的关联。有证据表明(部分具有统计学意义),在各个孕周组内,对于体重相同的婴儿,妊娠35周及以前出生且胎盘重量相对较低的早产儿、妊娠36周出生的早产儿以及足月出生但胎盘重量相对较高的低体重儿,在出生后的后续生命过程中尤其面临多种危险。文中指出了这些结果对新生儿科医生的临床重要性。未发现其他情况,如脐带附着形式或尿囊绒毛膜血管性质,与本研究中的参数密切相关。

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