206例围产儿死亡分析

我院1984年1月至1987年12月围产儿死亡206例,围产期死亡率17.7‰。尸解168例,尸解率81.6％,临床诊断与尸解符合率为90.47％。死亡原因依次为低氧、畸形,肺部疾患,低体重儿,本组臀位产分娩围产儿死亡率较自然产高18倍,说明早期纠正胎位,适度放宽剖宫产指征,可降低围产儿死亡率。30例死产中,畸形10例,其中神经管畸形占50％,说明妊娠16周后,常规超声波筛查神经管畸形十分重要。

A Clinical Analysis of 206 Cases of Perinatal Death

206 cases of perinatal death from 1984 to 1987 were analysed. The perinatal mortality rate was 17.7%. Autopsy was performed for 168 cases and the antopsy rate Was 81.8%. The clinical diagnosis was found to coincide with autopsy findings in 90.7% of cases. The causes of death appeared to be hypoxia, malformatiou, respiratory diseases and intrauterine growth retardation. The perinatal death rate in breech delivery was 18 times than that in vertex delivery. It inicates that the correction of breech presentation in antenatal period is of importance. If more CS are adopted, less perinatal death will be observed for breech delivery. Among 30 cases of stillbirth, 10 cases were diagnosed as malformation, 50% of which being N.T.D. Based on our studies, we came to the coaelusion that an early N.T.D. perinatal diagnosis in second trimester of pregnancy is very important for the lowering of fetal death.