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目的分析围生儿死亡变化趋势、死亡原因,了解死因差异。方法回顾性分析2000年至2005年暨南大学附属第一医院183例围生儿死亡资料及其中67例尸检结果,对围生儿死亡百分比、死因构成比、死因顺位进行比较。结果6年间围生儿死亡率呈下降趋势,平均死亡率为2.39/万,平均尸检率为36.6%。死亡原因排序为缺氧性疾病、畸形、脐带因素、感染等,其中死胎死产中以脐带因素(28.4%)为主,新生儿死亡以呼吸窘迫综合征(40.0%)为主,畸形引产以神经系统等致死性畸形(56.4%)为主。结论加强围生宣教,鼓励和争取尸检,对提高围生儿死亡诊断水平及完善预防措施十分重要。
Objective To analyze the trend of perinatal death, the cause of death and understand the causes of death. Methods A retrospective analysis of the data of perinatal deaths and the autopsy results of 183 infants in the First Affiliated Hospital of Jinan University from 2000 to 2005 was performed to compare the percentage of perinatal death, the cause of death and the cause of death. Results The perinatal mortality rate showed a decreasing trend in 6 years with an average mortality rate of 2.39 per 10 000 and an average autopsy rate of 36.6%. The causes of death were hypoxia, deformity, umbilical cord factors and infections. Among them, umbilical cord factors (28.4%) were the stillborn fetuses, neonatal deaths were mainly respiratory distress syndromes (40.0%), malformations were induced by Nervous system and other lethal deformities (56.4%) based. Conclusion Strengthening perinatal education and encouraging and obtaining autopsy are very important to improve the diagnosis of perinatal death and improve preventive measures.