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本文对1982年4月至1985年3月间113例围产儿死亡尸检及64例胎盘进行观察研究。指出畸形是新生儿死亡的首位原因,占28.6％;其次为肺透明膜病,占24.5％;颅内出血居第三位,占16.3％。妊娠期肝内胆汁郁积症10例,2例系死产,8例系死胎,说明该病对胎儿影响亦较大,应引起临床产科的重视。本文对部分围产儿死亡的胎盘进行了研究,讨论了胎盘及其附属物异常与围产儿死亡的关系,强调在大力开展围产儿尸检的同时应提高胎盘送检率。
In this paper, from April 1982 to March 1985 113 cases of perinatal death autopsy and 64 cases of placental observation. Pointed out that deformity is the first cause of neonatal death, accounting for 28.6%; followed by hyaline membrane disease, accounting for 24.5%; intracranial hemorrhage ranks third, accounting for 16.3%. 10 cases of intrahepatic cholestasis of pregnancy, 2 cases of stillbirth, 8 cases of stillbirth, the impact of the disease on the fetus is also larger, should pay attention to the clinical obstetrics. In this paper, part of the perinatal death of the placenta was studied to discuss the relationship between placental and its anomalies and perinatal mortality, emphasizing the vigorous development of perinatal autopsy should also increase the rate of placental examination.