摘要
目的探讨新生儿死亡原因的构成及其与日龄、胎龄、年份的关系。方法分析整理我院1998年1月至2008年5月间107例住院期间死亡新生儿尸检的临床资料及病理结果。结果40．2％死亡患儿于生后24h内死亡，72．9％死亡患儿于生后7d内死亡。7d内最主要死因为窒息性因素（48．6％），7d后最主要死因为先天发育畸形（34．5％）和出血性疾病（34．5％）。早产儿最常见死因为肺透明膜病（29．7％），足月儿最常见死因为先天性心脏病（23．3％）。前后5年比较，窒息性因素仍是我国目前新生儿最主要死因，感染导致患儿死亡有增加趋势，畸形患儿亦有所增加，产科因素及出血性疾病所致死亡有下降趋势。结论做好产前保健，积极防治早产，加强产科、儿科间协作，提高NICU的诊疗水平是降低新生儿病死率的有效手段。
Objective To investigate the neonatal death causes and the relationship between the causes and the neonatal age, fetus age and the year in order to reduce neonatal mortality. Methods Data of neonatal autopsy and pathological records from 107 neonates in our hospital from January 1998 to May 2008 were collected, analyzed and summarized. Results 40.2 % of the cases died within 24 hours and 72.9 % died within 7 days after birth. The main death cause for those who died within 7 days was asphyxia （48.6%）, and the main death causes for those who died after 7 days were deformity （34.5%） and hemorrhage （34.5%）. The most common death cause for premature babies was hyaline membrane disease （29.7 % ）, and the most common one for term infants was congenital heart disease （23.3 % ）. In the past 5 years, asphyxia was still the most common death cause in our country, those who died of infection were on the rise and the deformed babies increased too; on the contrary, those who died of obstetric causes and hemorrhage decreased. Conclusion Neonatal mortality could be reduced by prenatal management, prevention of premature delivery, improvement of the cooperation between pediatrics and obstetrics, and better management of NICU
出处
《中国小儿急救医学》
CAS
2008年第4期340-342,共3页
Chinese Pediatric Emergency Medicine
关键词
新生儿
尸检
死因
Neonate
Autopsy
Death cause
