Scott J M, Wilkinson R
J Clin Pathol. 1978 Oct;31(10):944-8. doi: 10.1136/jcp.31.10.944.
The results show that the varied appearance of the umbilical cord at birth can be related to its water content and that there are associated changes to be seen histologically in all layers of the cord, but especially in Wharton's jelly. Quantimet analysis confirms these findings and highlights a small group where dual pathology may exist. The relationship between oedematous cords, large drip volume, and respiratory distress in the newborn is considered, and a possible explanation for reduced placental transfusion and low red cell mass in these babies is proffered.
结果表明,出生时脐带外观的变化可能与其含水量有关,并且在脐带的所有层次,尤其是华通胶中,在组织学上可以看到相关变化。定量分析证实了这些发现,并突出显示了一小部分可能存在双重病理的情况。文中考虑了水肿性脐带、大量滴注量与新生儿呼吸窘迫之间的关系,并提出了这些婴儿胎盘输血减少和红细胞量低的一种可能解释。