32例早产儿咽吸出物检查预测胎肺成熟度

• 作 者: 翟晓华 吴桂芳 黄曙光 顾小芳
• 机 构: 江苏常州市妇产医院,江苏常州市妇产医院,江苏常州市妇产医院,江苏常州市妇产医院 213003,213003,213003,213003
• 出 处: 实用妇科与产科杂志
• 发表日期: 1992年04期
• 关键词: 吸出物 胎肺 磷脂酰甘油 成熟度 气管冲洗 肺表面活性物质 肺透明膜病 临床诊断 肺出血 假阳性

本文通过对32例早产儿分娩时羊水、咽吸出物、死亡新生儿大气管冲洗物等做系列磷脂酰甘油(PG)的检查,预测胎肺成熟度,并结合临床诊断、X 线检查、死亡病例的肺组织病理检查来验证其准确性.结果表明:大气管PG 的准确性100%,咽吸出物96.88%,羊水87.5%,均无假阳性.提示:早产儿孕周与胎肺成熟度无明显相关性.早产儿出生时,及时留取羊水,咽吸出物测PG 以了解肺成熟度,对于指导临床诊断与治疗有重要意义.

In this paper, a series of phosphatidylglycerols (PGs) were examined in 32 cases of premature infants with amniotic fluid and pharyngeal aspirates during childbirth and airway flushings of dead neonates to predict fetal lung maturity. Combined with clinical diagnosis, X-ray examination and death The accuracy of PG was 100%, 96.88% of pharyngeal aspirates and 87.5% of amniotic fluid were positive.It showed that there was no false positive in gestational age and fetal lung maturity No significant correlation.Premature infants born at the time of amniotic fluid and pharyngeal aspiration were measured PG to understand the degree of lung maturity for the guidance of clinical diagnosis and treatment of great significance.