对江陵县1974～1976年和1980～1982年0～14岁6591例死亡儿童进行分析,表明各年龄组儿童死亡率均有下降。婴儿死亡率下降未达到国家指标,围产期、新生儿期死因均以新生儿窒息为主,而0～14岁儿童的第1位列因是溺水。认为加强围产期、新生儿期、婴儿期保健,加强农村散居儿童管理是控制婴儿死亡率与降低儿童意外死亡率的重要措施。 An analysis of 6591 deaths from 0 to 14 years old aged from 1974 to 1976 and from 1980 to 1982 in Jiangling County shows that there is a decrease in child mortality in all age groups. The drop in infant mortality did not meet the national target, and the cause of perinatal and neonatal deaths were neonatal asphyxia, with the first in the range of 0 to 14 years old being drowning. It is considered that strengthening perinatal, neonatal and infant health care and strengthening management of rural children living in diarrhea are important measures to control the infant mortality rate and reduce the child accidental death rate.