羊水胎粪污染的临床意义  

Clinical Significance of Contamination of Amniotic Fluid by Fetal Feces

作　　者：成黛丽[1] 李娟[1] 

机构地区：[1]天津市第一中心医院妇产科,300192

出　　处：《天津医药》1994年第9期521-523,共3页Tianjin Medical Journal

摘　　要：1993年1～12月我院头位分娩产妇864例,对其中羊水胎粪污染的92例进行分析。结果表明:1.羊水胎粪污染全部发生在孕36周以上,说明胎粪排出是胎儿成熟的标志之一。2.本组正常胎儿59.8％有羊水胎粪污染,并无胎儿宫内窘迫表现,分娩后没有新生儿窒息发生,说明单纯羊水胎粪污染不能诊断胎儿宫内窘迫。3.污染胎粪羊水的吸入是导致胎粪吸入综合征的主要原因。提出了新生儿不良预后严重程度的预测因素。There were 92 cases of amniotic fluid contaminated by fetal feces analysed among 864 cases of labour with cephalic presentation in our hospital from January to December 1993. The results showed; (1) The amniotic fluid with fetal feces contamination all occurred after 36 weeks of gestation, indicating fecal excretion was a sign of fetal maturity. (2) 59.8% of normal new-borns had amniotic fluid-fecal contamination, but there was no intra-uterine or new-born asphyxia, so one shouild not diagnose intrauterine asphyxia just by the presence of amniotic fluid with fetal feces contamination. (3) The swallowing of contaminated amniotic fluid was the chief cause of fecal inhalation syndrome. Authors call attention to factors leading to serious prognosis of new-borns.

关 键 词：胎儿宫内窘迫 新生儿窒息 胎粪吸入综合征 

分 类 号：R722.12[医药卫生—儿科] R714.43[医药卫生—临床医学]