37例胎儿水肿尸体解剖与临床分析.pdf

37 20 2827 37 王夷黎 陶 祥 张 芸 刘小燕 528000 R174 A (2008) ! : , ( hydrops fetalis, H F) : 1999~ 2006 37 HF B : HF B 33, H F H F: H F , , H F , HF ! Autopsy and clinical pathological analysis of 37 cases of hydrops fetalis WANG Yi- L,i TAOXiang, ZHANG Yun, etalDepartmentof Pathology, Foshan aternity and Child CareHosp ital, Foshan 528000, Guangdong, China ∀Abstract# Objecti e: o analyze the etiology and cause for death of hydrops fetalis (H F) through integrating of autopsy resu lts and clinical dataM ethods: Data of system atic au topsy, clinical history and results of laboratory tests and u ltrasonograph of 37 HF cases of this department from 1999 to 2006 w ere analyzed retrospectivelyR esults: he cases prom pted by fetal ultrasonography w ere 33. HF w ere born by w om en in various ages. And hem olysis, infection inside u terus, abnorm ity of chromosom e, factors of p lacenta or umb ilical cord, abnorm al developm ent of mi portant organs, m onochorion ic pregnancies, d iseases such as hypertension, hepatitis and diabetes etc orm isuse ofm edicine during pregnancy were or maybew ere the causes of HFConclusion: H F is a syndrom e caused by various factors, and has a h igh m ortality. W ith au topsy of stillborn and review of clin ical history, m ost of the death cause ofHF arem ade clear to offer som e useful the ories and bases to prevent and treatH F ∀Key words# Hydrops fetalis; Autopsy; Clinical pathological analysis ( hydrops fetalis, H F) Hb, H ct, WBC, DC, Rh, RPA, , ), H F IHF NIHF: ( mi m une HF, IH F) ( non mi mune HF, N IHF) , IHF, , 90% Rh, ABO , H F