在200例死亡围产儿中，男性98例，女性102例，死胎56例，死产29例，活产新生儿115例。24h内死亡54例，24～48h内死亡27例，48～72h死亡15例，72h～7d内死亡19例。体重＜1．5kg18例，1．5～2．5kg92例，2．5～4kg86例，≥4kg4例。父母有异常情况48例，内科合并症17例。尸检中呼吸系统疾病154例占77．5％，先天畸形26例占13％，神经系统疾病3例，其它原因死亡16例。本文就死亡原因进行了讨论，为围产期保健提供参考依据，放搞好围产期保健是降低围产儿死亡的关键。 In 200 cases of perinatal deaths, there were 98 males, 102 females, 56 stillbirths, 29 stillbirths and 115 live births. 54 cases died within 24 hours, 27 cases died within 24 to 48 hours, 15 cases died within 48 to 72 hours and 19 cases died within 72 hours to 7 days. Weight <1.5kg18 cases, 1.5 ~ 2.5kg92 cases, 2.5 ~ 4kg86 cases, ≥4kg4 cases. 48 cases of abnormal parents, medical complications in 17 cases. Autopsy in 154 cases of respiratory disease accounted for 77.5%, 26 cases of congenital malformations accounted for 13%, 3 cases of neurological diseases, 16 cases of other causes of death. This article discusses the causes of death, provide a reference for perinatal care, put in good perinatal care is the key to reducing perinatal death.