Gleicher N, Chin J M, Brown B L, Kerenyi T D
Diagn Gynecol Obstet. 1980 Summer;2(2):151-5.
A case of presumptive intrauterine meconium aspiration is reported in which the diagnosis was made on the basis of an unexplained intrauterine fetal tachycardia and the presence of severely meconium-stained amniotic fluid. The possible pathophysiology of intrauterine meconium aspiration is discussed with special attention to animal experimentation. The importance of an early diagnosis of this condition is stressed. The clinical management of such cases may change once the antenatal diagnosis of intrauterine meconium aspiration can be made with more certainty. In addition, the legal implications of a confirmed diagnosis of intrauterine meconium aspiration are discussed as meconium aspiration is considered presently to represent a largely preventable neonatal event.
本文报告了一例疑似宫内胎粪吸入病例，该诊断基于不明原因的宫内胎儿心动过速以及羊水严重胎粪污染。文中讨论了宫内胎粪吸入可能的病理生理学，并特别关注动物实验。强调了早期诊断这种情况的重要性。一旦能更确切地做出宫内胎粪吸入的产前诊断，此类病例的临床管理可能会改变。此外，由于目前认为胎粪吸入在很大程度上是可预防的新生儿事件，因此还讨论了确诊宫内胎粪吸入的法律影响。
