10年孕产妇死亡原因分析

１９８３～１９９２年中大连市妇产医院及大连医学院附属第二医院，两院共分娩１２６７６３例，孕产妇死亡２１例，死亡率１６．６／１０万。直接产科因素死亡１３例，间接产科因素死亡８例。其中大连市妇产医院分娩１２３０４２例，孕产妇死亡２０例，大连医学院附属第二医院分娩３７２１例，孕产妇死亡１例（为间接产科因素）。羊水栓塞为死亡的主要原因（占２８．６％），其次是肺动脉栓塞及妊高症，子宫弛缓性出血、产褥感染无死亡病例。针对羊水栓塞及肺动脉栓塞发病率上升问题，寻找原因，采取预防措施，从而降低孕产妇死亡率。

The anolysis of maternal perinatal death cause in the past ten years

There are 126763 babies born and 21 Cases of maternal perinatac death in Dalian OBS and GYN hospital and Affiliatcd Second Hospitac,Dalian Medical College from 1983 to 1992. The mortality rate is 16.6/105. There are 13 cases of the direct obstetrical death causes and there are 8 cases of the indirect obstetrial death causes.Among the obstetrical death causes,amniotic fluid emolism ranks first(28.6%),pulmonany embolism second, EPH syndrome and atomic uterus hemorhage third, puerperal infection has no death cases. It indicates that we must look for the cause and make the measures according to the increasing of the incidence of aniniotic fluid embdism and pulmonany embolism in order to lower the maternal perinatal mortality rate.