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通过对天津市126例围产儿尸检所现,死于肺部疾患者占首位。其次是缺氧(窒息)、畸型及颅内出血,与10年前国内资料对比基本相同。但从单项死亡比较,肺部疾患、缺氧和畸形死亡比均有上升,而颅内出血及其它因素死亡比明显下降。结合孕母情况分析,以伴妊娠毒血症死因为首,其次为胎盘和脐带因素。通过病理诊断与临床诊断对比,临床误诊率最高者也是肺部疾患,其次是畸形。本文对误诊原因进行了讨论,并指出开展围产儿尸检的重要性。
Through the 126 cases of perinatal autopsy in Tianjin, died of lung disease accounted for the first place. Followed by hypoxia (asphyxia), abnormalities and intracranial hemorrhage, compared with 10 years ago, the domestic information is basically the same. However, compared with the single death, lung disease, hypoxia and deformity death rate increased, while the intracranial hemorrhage and other factors, the death rate decreased significantly. Combined with the analysis of pregnant mothers, to accompany with the cause of death of toxemia first, followed by the placenta and umbilical cord factors. Through pathological diagnosis and clinical diagnosis, the highest rate of clinical misdiagnosis is also a lung disease, followed by deformity. This article discusses the causes of misdiagnosis and points out the importance of carrying out an autopsy.