87例胎粪吸入综合征临床病理分析

目的　探讨胎粪吸入综合征 (MAS)的防治措施及产前监护。方法　对本文 87例MAS临床与病理资料进行回顾性分析 ,其中足月儿 6 0例 ,过期儿 3例 ,早产儿 2 4例。结果　 4 9例MAS新生儿死亡中产前有胎心音异常改变 4 8例 ,死胎2 6例 ,死产 12例。主要病理改变为胎粪吸入性肺炎 ,肺气肿以及各脏器出血。结论　MAS发生因素与妊娠期合并症 ,胎儿宫内排粪及分娩早期缺氧密切相关。

The analysis of the clinical - pathologic data of 87 patients with meconium aspiration syndrome.

Objective: To study the preventive method of meconium aspiration syndrome and the warships to patients. Methods: Analyze the clinical-pathologic data of 87 MAS patients which involved in 60 infants,3 postmature,24 premature.Results: 48 fetus of 49 newborns have symptom that sound of heart beating is abnormal before these newborns died, 26 dead fetus,12 dead infants.The main pathologies are meconium aspiration pneumonia,emphysema and the viscera's congesting. Conclusion: The factors that result MAS occurrence are closely relative with pregnancy complication,fetus defecating in the womb and shortage oxygen at the beginning of birth.