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目的:了解全市住院新生儿死亡原因及其相关因素,明确围产期保健、新生儿抢救的重点,制订正确的对策和相应的措施以降低新生儿死亡率。方法:回顾并总结全市2010-2011年住院死亡新生儿调查表、报告卡,死亡评审。结果:330例新生儿死亡中前3位死因分别为早产低体重儿、出生窒息和出生缺陷。通过评审发现救治过程中存在的问题,纠正对死因的错误判断,发现造成这些问题的管理层面的根源。结论:新生儿死亡率明显下降。由2009年的4.59‰下降到2011年3.96‰。评审方法易于操作和实施,适于各地区推广。
OBJECTIVE: To understand the causes of death of newborns in the city and its related factors, clarify the focus of perinatal care and neonatal rescue, and formulate the correct countermeasures and corresponding measures to reduce the neonatal mortality rate. Methods: To review and summarize the city from 2010 to 2011 newborns hospitalized death questionnaire, report card, death review. Results: Among the 330 newborns, the first three deaths were preterm low birth weight infants, birth asphyxia and birth defects respectively. Through reviewing the problems found in the rescue process and correcting the wrong judgment of the cause of death, we found out the root causes of the management problems that caused these problems. Conclusion: Neonatal mortality decreased significantly. From 4.59 ‰ in 2009 to 3.96 ‰ in 2011. Evaluation method is easy to operate and implement, suitable for all regions to promote.