【摘要】 目的　探讨早产儿的发生原因、并发症和死亡原因。　方法　对我科 1991年 1月～2 0 0 1年 12月 11年期间住院的 83 4例早产儿的围产期临床资料进行回顾性分析。　结果　住院早产儿有逐年增多趋势 ,多数有明确早产的诱因。冬季早产儿住院比例高于其它季节。 87.6%有各种疾病 ,后 6年硬肿症、肺炎、呼吸暂停和颅内出血发生率下降。本组早产儿死亡 64例 ,病死率 7.7% ,胎龄愈小、出生体重愈小 ,病死率愈高 ;早产儿死亡的危险性相关因素依次为 :出生体重、胎龄、生后 1minApgar评分、肺出血、肺透明膜病。　 结论　应加强围产保健措施 ,加强产科儿科合作 ,减少早产儿合并症 ;进一步提高各级围产保健人员对危重早产儿的抢救水平 ,建立区域性围产转运系统 ;在NICU中提高早产儿的管理水平 ,进一步降低早产儿病死率 ,改善其预后更多还原

【Abstract】 ObjectiveTo explore the etiology, comolication a nd causes of death of hospitalized preterm infants. MethodsM aternal and neonatal medical records of 834 hospitalized preterm infants from Ja nuary 1991 to Decembre 2001 were reviewed.ResultsThe statist ics showed that there was an increased tendency of hospitalized preterm infants year by year. Most of them have a definite etiology of prematurity. There were m ore cases hospitalized in winter than in other seasons. 87.6% of preterm infants were associated with different complications. The morbidity of cold injury, pne umonia, recurrent apnea and intracranial hemorrhage declined in last 6 years. Si xty-four babies died, the mortality rate was 7.7%. The smaller the gestational age and birth weight was, the higher the mortality would be. The risk factors of death were birth weight, gestational age, Apgar score at 1 minute after birth, pulmonary hemorrhage and hyaline membrane disease.Conclusion It is important to enforce the perinatal health care and the co-operation of ob stetricians and pediatricians to reduce the complications of prematurity. We sho uld set up a well organized district perinatal transport system, raise the effic iency of rescue management, reduce the mortality and improve the prognosis of pr eterm infants.更多还原