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10年围产儿死亡回顾分析

Retrospective Analysis of Perinatal Death During Ten Years

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【作者】 刘兴会尹如铁姚建蓉雷巍

【Author】 LIU Xing hui,YIN Ru tie,YAO Jian rong,LEI Wei (The Second Affiliated Hospital of West China University of Medical Sciences,Chengdu,Sichuan 610041)

【机构】 华西医科大学附属第二医院!四川成都610041

【摘要】 目的 :分析及探讨围产儿死亡原因 ,以提高围产保健的工作质量 ,降低围产儿死亡比。方法 :按照围产期 标准 ,对我院建院 10年期间死亡围产儿 2 45份住院病历进行统计分析。结果 :10年间围产儿死亡比 11.31‰ ,死胎占 5 5 .92 % ,死产占 8.16 % ,新生儿死亡占 35 .92 %。导致围产儿死亡的主要并发症及死因为早产、胎儿畸形、妊娠并发症 ,死胎中以畸形、脐带因素为主 ,新生儿死亡以 RDS及缺氧综合征为主。结论 :加强孕期监护 ,预防早产 ,防止并发症发生 ,是降低围产儿死亡比的主要措施。

【Abstract】 Objectives:To investigate and evaluate the causes of perinatal death,to improve the quality of perinatal care and reduce the perinatal morbidity.Methods:According to the standard of Perinatal Stage I,we reviewed and made statistical analysis on 245 cases of inpatient medical records with perinatal death,who were admitted to this hospital between 1989 and 1999.Results:During the ten years since our hospital foundation,the perinatal morbidity was 11.31‰ ,in which,the fetal death was 55.92%,the stillbirth was 8.16%,and the neonatal death was 35.92%.The leading complications and causes of perinatal death were preterm labor,fetal malformation,and gravidic complications;as to the fetal death,the fetal malformation and umbilical cord factors were the leading causes;neonatal death was mainly owed to RDS and hypoxic syndrome.Conclusions:To enhance the surveillant quality during the pregnant period,avoid the preterm labor,and prevent the gravidic comlications are primary procedure to reduce the perinatal morbidity.

【关键词】 围产儿死亡并发症死亡原因
【Key words】 Perinatal morbidityComplicationsCause of death
  • 【文献出处】 实用妇产科杂志 ,Journal of Practical Obstetrics and Gynecology , 编辑部邮箱 ,2001年02期
  • 【分类号】R714.7
  • 【被引频次】80
  • 【下载频次】199
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