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目的:通过分析西宁地区72例围产儿死亡原因,从而提高围产保健工作质量,进一步降低围产儿死亡率。方法:收集2000年4月—2008年12月72例死亡围产儿临床资料,分析围产儿死亡的原因,了解围产儿死亡的影响因素。结果:导致围产儿死亡的主要并发症及死因为早产、胎儿畸形、妊娠并发症。死胎中以畸形、脐带因素为主,新生儿以RDS(肺透明膜病)、肺出血及窒息综合症为主。结论:加强孕期监护、预防早产、窒息和感染、加强产科和新生儿科的合作、防止并发症发生,是降低围产儿死亡率的主要措施。
OBJECTIVE: By analyzing the causes of 72 perinatal deaths in Xining region, the quality of perinatal health care work can be improved and the perinatal mortality rate can be further reduced. Methods: The clinical data of 72 deaths and perinatals collected from April 2000 to December 2008 were collected. The causes of perinatal death were analyzed, and the influencing factors of perinatal death were analyzed. RESULTS: The major complications and causes of death from perinatal death were premature birth, fetal malformations, and pregnancy complications. Stillbirth to deformity, umbilical cord factors, neonatal RDS (hyaline membrane disease), pulmonary hemorrhage and asphyxia syndrome based. CONCLUSIONS: Strengthening antenatal care, preventing premature birth, asphyxia and infection, strengthening cooperation between obstetrics and neonatology and preventing complications are the main measures to reduce perinatal mortality.