193例新生儿死亡分析

我院儿科1973年1月至1986年6月收治新生儿928例,其中死亡193例(男147,占76.17％;女46,占23.83％)。病死率为20.79％,纠正病死率4.09％,纠正后病死率为16.59％。死亡病例诊断符合率94.81％。死亡原因感染性疾病中以破伤风为主(51.30％);非感染疾病以硬肿症为多(4.6％)。两组疾病多数在入院一周内死亡。住院日龄与疾病间关系符合一般发病规律。

AN ANAIYSIS OF 193 CASES OF NEWBORN DEATH TREATED IN HOSPITAL DURIGN THE RECENT 13 YEARS

In this paper, 193 cases of newborn death treated in hospital during the past 13 years are reported and statistically analysed. 147 cases of the death were males (76.17%) and 46 cases were females (23.83%), the ratio between the male and female being 3.2: 1. The fatality rate was 20.79%, with a correc- tion rate of 4.09%, and the fatality rate after correction was 16.59%. the coincidence rate of diagnosis was 98.44% and the rate of severely ill cases was 94.81%. The deaths related to infections diseases were caused mostly by tetanus neonatorum(51.8%), while of those due to noninfections diseases, the biggest group was caused by sclerema neonatorum(4.6%) most cases died within one week after admcssion. The age (days) at which the child died of a related disease was in line with the general development of the disease. Attention should be paid to the fact that, as showing in this paper, tetanus neonatorum serves as a major cause of the death.