Rosegger H
Wien Klin Wochenschr. 1983 Jan 7;95(1):6-9.
Obstetric literature deals with meconium stained amniotic fluid (AF) in various ways when judging it as an indicator of fetal distress. This evidently reflects the difficulty of finding overt relations between measurable alterations in the condition of the fetus or of the newborn infant and the amount of meconium passed into the AF. Nor is the moment predictable by means of fetal monitoring when meconium is passed. Discussing these problems in the light of the consecutive course of events resulting finally in meconium aspiration some of the discrepancies can be explained without difficulty. Considering also the kinetics of formation and excretion of AF the distinction of 3 variants of meconium aspiration syndrome is possible: 1. late meconium aspiration syndrome in non-asphyctic infants, 2. late meconium aspiration syndrome in asphyctic infants, 3. "connatal" meconium aspiration syndrome.
在将胎粪污染羊水（AF）判定为胎儿窘迫指标时，产科文献以多种方式对其进行论述。这显然反映出难以找到胎儿或新生儿状况的可测量变化与进入AF的胎粪量之间的明显关联。通过胎儿监护也无法预测胎粪排出的时刻。根据最终导致胎粪吸入的一系列连续事件来讨论这些问题，有些差异不难解释。考虑到羊水的形成和排泄动力学，区分胎粪吸入综合征的3种变体是可能的：1. 非窒息婴儿的晚期胎粪吸入综合征，2. 窒息婴儿的晚期胎粪吸入综合征，3. “先天性”胎粪吸入综合征。
