【作者】 金龙；

【导师】 林贞花；

【作者基本信息】 延边大学 ， 病理学与病理生理学， 2011， 硕士

【摘要】 目的：探讨围产儿死亡原因及预防措施,为了提高临床围产儿的医疗保健质量和降低围产儿死亡率提供依据。方法：对2003年1月-2010年12月在延边妇幼保健院分娩的111例死亡围产儿的临床病例和1998年1月-2008年6月在延边大学医学院病理学教研部行围产儿死亡后尸检的19例病例进行回顾性分析研究。结果：延吉市围产儿死亡率为8.43‰。临床病例中围产儿的最主要的死因为畸形及发育不全,胎龄<37周时死亡率高,男婴多于女婴；同样,在尸检病例中发育不全和畸形也是首位死因,其次是脐带疾病以及新生儿肺透明膜病等。结论：提高产前检查诊断的准确率,防止孕期并发症,预防缺氧、窒息和早产,是降低新生儿病死率的主要措施。更多还原

【Abstract】 Objective:To supply the basis for clinical improving medical care quality of perinatal and decreasing the perinatal mortality, the causes of perinatal death and preventive measure were discussed.Methods:Restrospective analysis for 111 dead perinatal in Yanbian Health Centers for Women and Children during the period of 2003 to 2010, and 19 of autopsy perinatal clinical cases in Department of Pathology, Yanbian University School of Medicine during 1998 to 2011, were performed by using Chi-square statistical analysis.Results:The average perinatal mortality is 8.43%o in Yanji city. The main cause of perinatal death in clinical cases is birth defects and agenesis. The mortality is high when gestational age less than 37 weeks, and it is higher in male infants than female infants. Also, the main cause of death is birth defects and agenesis, and followed the disease of umbilical cord and the neonate hyaline membrane disease in autopsy cases. Conclusions:The main measures of decreasing the neonate mortality are to increase the accuracy rate of prenatal diagnosis, to prevent pregnancy complications, and to avoid hypoxia, apnea and premature delivery.更多还原