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目的 :探讨围生儿死亡的主要原因 ,降低围生儿病死率。方法 :统计自 1994～1998在我院分娩的围生儿数 ,根据临床实验室检查、B超及其他检查结果将围生儿死亡病例进行归类。结果 :围生儿总数 42 86例 ,围生儿死亡 89例 ,围生儿死亡率 2 0 17‰ ,其中新生儿死亡率 9 91‰ ,围生儿死亡原因依次为妊娠期肝内胆汁瘀积症 (ICP)、早产脐带因素、畸形、新生儿窒息及其他。结论 :围生儿死亡与围生期保健 ,产程监测处理 ,接受技巧有密切关系 ,提高对ICP的认识 ,提高产前诊断技术 ,预防早产 ,产程各环节的合理处理和提高对新生儿窒息复苏的效果 ,是降低围生儿死亡的重要措施。
Objective: To investigate the main causes of perinatal death and reduce perinatal mortality. Methods: The number of perinatal children born in our hospital from 1994 to 1998 was counted. Perinatal deaths were classified according to the results of clinical laboratory tests, B-ultrasound and other tests. Results: The total number of perinatal children 4286 cases, 89 cases of perinatal mortality, perinatal mortality rate 2 0 17 ‰, of which 9 91 ‰ of neonatal mortality, perinatal causes of death were intrahepatic cholestasis of pregnancy Symptoms (ICP), premature umbilical cord factors, deformities, neonatal asphyxia and others. Conclusion: Perinatal mortality is closely related to perinatal health care, labor monitoring and treatment, and receiving skills. It also enhances understanding of ICP, improves prenatal diagnostic techniques, prevents premature births, reasonable treatment of all stages of labor, and improves neonatal asphyxia recovery The effect is to reduce the perinatal death of important measures.