284例围产儿死亡病例分析  

Analysis of death cases of 284 perinatal fetus

作　　者：王子莲[1] 梁莹莹[1] 陈宝江[1] 方群[1] 杨建波[1] 

机构地区：[1]中山大学附属第一医院妇产科,广东广州510080

出　　处：《中国妇幼保健》2008年第5期644-646,共3页Maternal and Child Health Care of China

摘　　要：目的：探讨围产儿死亡的主要原因，为制定有针对性的预防措施，有效降低围产儿死亡率提供依据。方法：对2001年7月-2006年1月284例围产儿死亡病例进行回顾性统计分析。结果：先天畸形造成的围产儿死亡最多，共193例，占70．0％：其中，2个或2个以上系统畸形占26．9％，单系统畸形以水肿胎、骨骼异常、神经系统畸形、泌尿生殖道畸形、先天性心脏病最多见；有97例做了染色体核型分析，染色体异常患者为20例，异常率为20．6％，染色体多态性8例，占8．3％。结论：规范产前检查制度，提倡中孕早期常规行超声波检查，及早发现异常胎儿，减少围产儿死亡率。Objective. To find the effective measures of decreasing perinatal mortality by analyzing 284 perinatal death cases. Methods： 284 perinatal death cases were collected from 07/2001 to 01/2006 to analyze the main clinical manifestations and death reasons. Results： 70. 0% cases had congenital abnormality, 26. 9% cases had 2 or more systems abnormality, and single system abnormality usually presented as fetal hydrops, skeletal, nervous, cardiovascular and genitourinary tract system. Chromosomal karyotypes were analyzed in 97 cases, 20 cases （20. 6%） had abnormal chromosomal karyotype, 8 cases （8. 3%） with chromosome polymorphism. Conclusion： It is very important to develop regular antenatal care and routine ultrasound scan in early - middle stage of gestation for discovering fetal abnormality before 28 weeks gestation and reducing perinatal mortality.

关 键 词：围产儿 死亡率 先天畸形 

分 类 号：R714.7[医药卫生—妇产科学]