APC法综合分析205例围产儿死因

Sdudying cause of perinatal deaths by APC method.

目的 :分析围产儿死亡原因 ,指导临床实践。方法 :结合尸体解剖 (autopsy,A) ,胎盘病理检查 (placentalpathologi calexamination ,P)及临床资料 (clinicaldata ,C)的分析方法 ,即APC法。结果 :我院 1993年 8月至 1998年 12月共有 2 0 5例围产Ⅱ期的围产儿死亡 ,除去先天异常所致围产儿死亡 79例 ,效正围产儿死亡率 18.4‰ ,围产儿死因中先天异常占 38.5‰ ,缺氧5 0例 ,为 2 4.4% ,宫内感染 19例 ,占 9.3% ,新生儿透明膜病 18例 ,占 8.8% ,其它各种原因所致围产儿死亡 39例 ,占 19%。结论 :引起围产儿死亡的主要原因是畸形、缺氧、宫内感染、早产。开展优生咨询 ,加强围产期保健 ,提高合并症及并发症的治愈率是降低围产儿死亡率的关键。

Objective:To study cause of perinatal deaths and direct clinical practice. Method:analysing association of Autopsy and Placental Pathological examination and clinical data.[abbreviate for APC]to decide the cause of perinatal deaths.Results:There were 205 perinatal deaths during perinatal period Ⅱ in my hospital,from 8,1993 to 12,1998 and the perinatal mort-ality rate was 29.9‰.Except 79 Perinatal deaths for congenital monstrosity,perinatal mortality rate was 18.4‰.38.5% of death cause was monstrosity.50 Perinatal died of anoxia,the contituent ratio was 24.4%,19 perinatal died because of intranterine infection,the constituent ratio was 9.3%,18 babies died of respiratory distress Syndrome(RDS),the rate was 19%.Conclusions:Primary cause of perinatal deaths were Monstrosity,anoxia,intrauterine infection and premature labor,In order to low the perinatal mortality rate.the keys are to practise aristogenesis education,to emphasize conservany during perinatal period and to improve obsteric complication and neopathy.