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[孕期泌尿生殖系统感染与细菌定植及其对妊娠临床过程、胎儿和新生儿的影响]

[Infection and bacterial colonization of urogenital system in pregnancy, its effect on the clinical course of pregnancy, fetus and newborn].

作者信息

Bashmakova M A, Kosheleva N G, Kalashnikova E P

出版信息

Akush Ginekol (Mosk). 1995(1):15-8.

PMID:7762741
Abstract

Colonization/infection of the genitals with Mycoplasma, group B Streptococci, and Chlamydia was studied in pregnant women. The course of gestation in women colonized with microorganisms was frequently aggravated by threatened spontaneous abortions, high incidence of hydramnion, late gestoses, pyelonephritis. For the newborns a reduced body mass and increased perinatal morbidity and mortality were characteristic. Transfer of microorganisms to the fetus and newborn was observed in 40-50% of cases and was not always associated with development of a disease. In cases of lethal outcomes of a neonatal disease pneumonia and placentitis were the constant morphological manifestations of the infection. In streptococcal and mycoplasmic infection the inflammation in the placenta was diffuse, involving the decium both in the placenta and in the extraplacental membranes.

摘要

对孕妇生殖器感染支原体、B族链球菌和衣原体的情况进行了研究。感染微生物的孕妇妊娠过程常因先兆流产、羊水过多、晚期妊娠中毒症、肾盂肾炎的高发病率而加重。新生儿的特点是体重减轻以及围产期发病率和死亡率增加。在40%至50%的病例中观察到微生物向胎儿和新生儿的传播,且并不总是与疾病的发生相关。在新生儿疾病致死的病例中,肺炎和胎盘炎是感染的持续形态学表现。在链球菌和支原体感染中,胎盘的炎症是弥漫性的,累及胎盘和胎盘外膜的蜕膜。

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