【摘要】 本文总结137例围产儿尸体解剖及70例胎盘病理检查材料,结合临床资料作死因综合分析。在唐敏一7类分类基础上扩展为围产儿死因11分类:缺氧分为3类,更为具体明确;感染独立分类,分列宫内感染与新生儿感染。结果死因顺序首三位为缺氧、感染及畸形,揭示了感染的重要性。更多还原

【Abstract】 The causes of death in 137 perinatal casas were determined by autopsy findings and analyses of 70 placental pathological examinations with knowledge of clinical data. A new classification of 11 categories is proposed, based on a simpler one advocated by Tang Minyi which was modified from the WHO classification. Hypoxia was differentiated into 3 separate more epecific categoriesrlntrauterino hypoxia, neonatal asphyxia, and hypoxio ischemio lesions. Infection constituted the second most important cause of death and was set up in 2 independent categories: Intrauterine infection and neonatal infection. This composite analysis with autopsy, placenta! and clinical data in this study produced 99.3% accuracy in the dertermination of the cause of perinatal death of all 137 eases. Placental pathological findings proved to be of great importance and should be emphasized especially in stillbirths due to-intrauterine infection.更多还原