住院新生儿180例死亡原因分析  

Analysis of 180 neonatal deaths in hospitalized patients

作　　者：白小红[1] 熊英[1] 张德双[1] 陈娟[1] 

机构地区：[1]四川大学华西第二医院新生儿科,成都610041

出　　处：《中国新生儿科杂志》2013年第2期88-91,共4页Chinese Journal of Neonatology

摘　　要：目的通过分析我院住院新生儿死亡原因,探讨降低住院新生儿病死率的有效措施。方法回顾性分析2007—2011年我院新生儿科死亡病例的性别、胎龄、出生体重、母亲围产期高危因素、生后1min及5minApgar评分、死亡日龄、死亡诊断及死亡原因。结果 2007—2011年共收治新生儿14909例,死亡180例,病死率1.2%;死亡新生儿男女性别比为1.34∶1;早产儿占死亡新生儿的64.4%,低出生体重儿占死亡新生儿的62.8%;73.3%在生后7天内死亡;新生儿呼吸窘迫综合征、新生儿肺炎、新生儿肺出血是早产儿死亡的主要原因,出生缺陷、肺炎、败血症是足月儿死亡的主要原因。结论做好孕期保健和胎儿监测工作,减少早产、新生儿感染的发生,预防孕期并发症,是减少新生儿死亡的主要措施。Objective To analyze the causes of death in hospitalized neonates and to find effective prevention and treatment measures to reduce infant mortalities. Methods Medical records of neonatal death from January 2007 to December 2011 were collected. Retrospective analysis were conducted on gender, gestational age, birth weight, perinatal risk factors, 1 min ＆ 5 rain APGAR scores, chronological age at death, final diagnosis and direct causes of death. Results Among the 14909 neonates hospitalized, 180 infants were deceased with mortality rate of 1.2% and male to female ratio of 1.34： 1. Premature infants accounted for 64.4% and low birth weight infants consisted of 62.8% of the deceased neonates. 73.3 % of all mortalities occurred within 7 days post partum. While neonatal hyaline membrane disease, pneumonia and neonatal pulmonary hemorrhage were the primary causes of mortality in premature infants, congenital defects （especially congenital heart diseases）, pneumonia and sepsis were most commonly found conditions that had lead to term infant mortalities. Conclusions Emphasis on prenatal care and fetal monitoring; decrease the occurrence of premature delivery and neonatal sepsis; as well as prevention of maternal complications during pregnancy are primary measures of decreasing neonatal mortality rate.

关 键 词：婴儿 新生 病死率 临床研究 

分 类 号：R722.1[医药卫生—儿科]