胎死宫内临床分析

目的探讨胎死宫内的相关病因及分娩方式。方法对2002年1月至2012年1月解放军总医院收治的56例胎死宫内患者的临床资料进行回顾性分析。结果重度子痫前期是胎死宫内的首要原因（21／56，37．5％），其次为胎盘早剥（7／56，12．5％），脐带因素（6／56，10．7％）和胎位异常（4／56，7．1％）。分娩方式包括药物引产20例，催产素引产15例，利凡诺引产5例，剖宫产6例，阴道分娩10例。结论子痫前期是引起胎死宫内的重要原因，关键在于及早发现异常和及时做出诊断，适时地终止妊娠并选择合适的引产方式，使母儿的危险降到最低，从而达到降低围产儿病死率的目的。

Clinical analysis of intrauterine fetal death

Objective To study the maternal relative factors and treatment of intrauterine fetal death. Methods From January 2002 to January 2012, the clinical data of 56 cases with in Chinese people＇s liberation ar- my general hospital were studied retrospectively. Results The chief cause that leaded to intrauterine fetal death was severe preeclampsia（21/56, 37. 5% ）, the second was placental abruption （7/56, 12.5% ）. The other causes were umbilical cord factors （6/56, 10.7% ） and malposition （4/56, 7.1% ）. Among these patients, we adopted several delivery ways including drug, oxytocin, caesarean birth and vaginal delivery. Conclusions Preeclampsia plays the most important role in intrauterine fetal death. The key to decrease intrauterine fetal death rely on the finding the ab- normal conditions as early as possible and diagnosing promptly. The termination of pregnancy and choose the appro- priate labour induction way can decrease the mortality rate of fetal in perinal stage.