87例新生儿颅内出血死亡的病因分析  

STUDY ON CAUSE OF DEATH OF 87 INFANTS WITH INTRACRANIAL HEMORRHAGE

作　　者：陈颖[1] 郑宝琴[1] 潘永观[1] 吴昭远 

机构地区：[1]浙江医科大学妇产科医院,310006

出　　处：《新生儿科杂志》1997年第1期9-10,12,共3页The Journal of Neonatology

摘　　要：本院1984年1月～1993年12月十年间住院死亡新生儿254例，尸解241例，颅内出血87例，其中直接死于颅内出血47例，占总死亡数18．5％；早产儿及窒息儿为易发人群；生后24小时内死亡占61．7％，可见重在预防；五种分娩方式中以剖宫产颅内出血死亡率最低，胎头吸引、臀位较高。提示宜放宽臀住剖宫产指症，头吸亦宜慎用。十年中新生儿颅内出血死亡率由84～87年的1．332％。下降至88～93年的0.455％。，P＜0．001。此与我院产科技术及儿科复苏术不断提高有关。Totally 254 newborn deaths were admitted into our hospital from Jan. 1984 to Dec. 1993. Among them, 87 cases were intracranial hemorrhage and 241 cases were performed by postmortem autopey autopsy. 47 cases were intracranial hemorrhage directly leading to death. Premature and asphyxia infants were susceptible to death and 61. 7% of all newborn deaths occurred with-in 24 hours after delivery. This showed that prophyxis was important. The mortality of the new-born with intracranial hemorrhage by cesarean section was the low est in all five delivery ways. Yet the mortality of the new-born by cephalic suction and breech delivery was higher. This suggested that the indications of cesarean section should'nt be so strict, and cephalic suction ought to be cautious, During ten years, the mortality of the new-born with intracranial hemorrhage was decreased from 1. 333% between 1984 and 1987 to 0. 455% between 1988 and 1993 (pr0.001). This was relative to the continuous im proved obstetricas technology and pediatrics resuscitation in our hospital

关 键 词：新生儿 颅内出血 死亡率 死因分析 

分 类 号：R722.151[医药卫生—儿科]