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目的:了解延吉市围产儿死亡率及死亡原因,为临床提高围产儿的医疗保健质量和降低围产儿死亡率提供可靠依据。方法:对2003年1月～2007年12月在延边妇幼保健院分娩的59例死亡围产儿和1998年1月～2008年6月在延边大学医学院病理学教研部行围产儿死亡后尸检的14例病例进行回顾性分析。结果:延吉市围产儿死亡率为7.63‰。临床病例中围产儿的主要死因为畸形和发育不全,胎龄<37周时死亡率高,死亡围产儿中男婴多于女婴。在尸检病例中,新生儿肺透明膜病为最主要的死因。结论:加强产前检查,防治孕期并发症、围生儿窒息、早产是降低围产儿死亡率的主要措施。
Objective: To understand the perinatal mortality and causes of death in Yanji City, and provide a reliable basis for improving the quality of health care and reducing perinatal mortality in perinatal children. Methods: From January 2003 to December 2007 in Yanbian Maternal and Child Health Hospital, 59 cases of perinatal death and January 1998 ~ June 2008 at the Yanbian University School of Medicine Department of Pathology, Department of Pathology, post-mortem autopsy 14 cases were retrospectively analyzed. Results: The perinatal mortality rate in Yanji City was 7.63 ‰. The main causes of perinatal morbidity in clinical cases are malformations and hypoplasia, with a high mortality rate at <37 weeks of gestation and more babies in perinatal deaths than in females. In autopsy cases, neonatal hyaline membrane disease is the leading cause of death. Conclusion: Strengthening prenatal care, prevention and treatment of complications during pregnancy, perinatal asphyxia and premature delivery are the main measures to reduce perinatal mortality.