Baergen R N, Castillo M M, Mario-Singh B, Stehly A J, Benirschke K
Department of Pathology, University of California, San Diego, USA.
Pediatr Pathol Lab Med. 1997 Jan-Feb;17(1):159-67.
We describe a case of a 19-year-old G1P0 woman with an unremarkable prenatal course who presented at term in labor. Fetal bradycardia developed and forceps were used to deliver a male infant, who was born with Apgar scores of 0 and 0 and could not be resuscitated. Examination at autopsy revealed no gross evidence of trauma, but on microscopic examination of the lungs and the placenta, multiple fetal vessels contained emboli consisting of fragments of fetal cerebellar cortex. Previously reported cases of this rare phenomenon are reviewed and the pathogenesis is discussed.
我们描述了一例19岁、孕1产0的女性病例，其产前过程无异常，足月时临产。出现胎儿心动过缓，遂用产钳助产娩出一名男婴，该男婴出生时阿氏评分均为0，未能复苏。尸检未发现明显的创伤证据，但在对肺部和胎盘进行显微镜检查时，发现多条胎儿血管中有由胎儿小脑皮质碎片组成的栓子。本文回顾了此前报道的这一罕见现象的病例，并讨论了其发病机制。
