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目的:探讨新生儿的死亡原因,发现可避免的因素,改善新生儿的保健服务质量,降低死亡率。方法:对2009年10月—2011年10月死亡的89例新生儿病例进行分析。结果:近3年新生儿死亡的主要原因为:早产38例,新生儿窒息24例,新生儿肺炎11例,出生缺陷10例,其他新生儿疾病6例。结论:加强县区级医院产、儿科建设,提高产科、儿科新生儿窒息复苏技术是降低新生儿死亡率的主要方法,大力提倡儿科医师入产房协同助产。
Objective: To investigate the causes of neonatal deaths, to find avoidable factors, to improve the quality of health care services for newborns, and to reduce the mortality rate. Methods: 89 neonates who died from October 2009 to October 2011 were analyzed. Results: The main causes of neonatal death in the recent 3 years were 38 cases of premature delivery, 24 cases of neonatal asphyxia, 11 cases of neonatal pneumonia, 10 cases of birth defects and 6 cases of other neonatal diseases. Conclusion: It is the main method to reduce the neonatal mortality rate to strengthen the obstetric and pediatric neonatal asphyxia resuscitation in hospitals and pediatrics in county-level hospitals. It is advocated that pediatricians should enter the delivery room in coordination with midwifery.