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围产儿先天性畸形

Congenital Anomalies of Perinatal Newborn

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【作者】 叶怀英刘颖

【Author】 Ye Huaiying, Liu YingDepartment of Gynecology and Obstetrics, 1st Teaching Hospital, Wuhan Medical College, Wuhan

【机构】 武汉医学院第一附属医院妇产科武汉医学院第一附属医院妇产科

【摘要】 <正> 先天性畸形是围产儿常见疾病之一,是死胎、死产的重要原因。了解围产儿先天畸形的发病概况,有利于对围产儿先天畸形的防治。先天性畸形一般系指胎儿在器官形成过程中由于某种原因所导致的形态结构异常,肉眼可见;也可是细胞或分子水平的,广义而言,应包括先天性代谢缺陷病。本文仅就肉眼所见的各种畸形予以分析讨论。

【Abstract】 A retrospective study is made on the incidence and cause of death of the newborn in our hospital from January 1979 to December 1980. Of 26,924 deliveries, 408 infants died during the prenatal period. Of the 408 cases, 86 died of congenital anomalies (21.08%) which appeared to be the leading killers among the various causes of death. Of all the deliveries, 157 infants had congenital anomalies. The incidence of different kinds of anomalies by grcss examination were as follows: Nervous system anomalies 40 cases; hare lips with or without cleft palate 33 cases; anomalies of digestive system 17 cases; those of genito-urinary system 7 cases. More than 60% of congenital anomalies, were of Polygenic hereditary origin.Causes of stillbirth and death from labor were analyzed. Relevant literature as regards prenatal diagnosis of congenital anomalies is reviewed and discussed.

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