目的:掌握无锡市2004~2006年5岁以下儿童死亡状况,探索有效干预措施。方法:对2004~2006年无锡市5岁以下儿童死亡卡进行分析。结果:新生儿死亡率、婴儿死亡率5、岁以下儿童死亡率分别为3.33‰、4.60‰、6.78‰,新生儿死亡、婴儿死亡、1~4岁儿童死亡占5岁以下儿童死亡数的构成比分别为49.33%、68.16%、31.83%,5岁以下儿童死因前6位为先天性心脏病、溺水、起源于围生期其他疾病、其他先天异常、早产和未成熟儿、新生儿产伤和窒息。结论:提高产前诊断技术,加强遗传咨询,提高安全意识是降低婴儿及5岁以下儿童死亡率的关键。 Objective: To master the death of children under 5 years of age from 2004 to 2006 in Wuxi and explore effective interventions. Methods: The death cards of children under 5 years old in Wuxi City from 2004 to 2006 were analyzed. Results: The neonatal mortality rate and infant mortality rate were 5.33 per thousand, 4.60 per thousand and 6.78 per thousand, respectively. The deaths of newborns, infants, children aged 1 to 4 accounted for less than 5 years Compared with 49.33%, 68.16% and 31.83% respectively. The top 6 causes of death among children under 5 years of age were congenital heart disease, drowning, other diseases of perinatal origin, other congenital anomalies, premature birth and immature infants, neonatal birth injuries And suffocation. CONCLUSIONS: Increasing prenatal diagnostic techniques, strengthening genetic counseling, and raising safety awareness are the keys to reducing infant and under-5 mortality.