高海拔地区554例新生儿住院病例分析

Analysis about 554 cases of neonates in hospital at high altitudes.

本文统计分析了海拔1680m地区新生儿住院病例554例。按早产儿、足月儿及过期产儿分组统计主要及次要疾病和死因。以前7种疾病为重点分析各组发病的特点,指出体重越低,孕周越少,病死率越高,日龄≤7d发病者病死率高。呼吸系疾病占总数1/3以上,其中肺炎和上感占98％,多发于冬春季,主要原因为地势高、气候干燥、昼夜温差大等。加强新生儿出生后7d内的护理,预防早产及增加母孕期微量元素特别是碘的供给,对降低新生儿的病死率是必要的。

There were 544 cases of neonates hosr pitalized at the altitudes 1680 meters high, they were analyzed according to the statistics. All the cases i were grouped into the premature, full-term and post term infants, the statistical study of the main and the secondary diseases, the causes of deaths were performed. Taking the first seven kinds of diseases as key points, we analyzed the invasion characteristics of each group. It was pointed out that the lighter the weight of a neonates was, the shorter the courses of pregnancy was and the higher the mortality of neonates was. The patients of neonates whose ages were less than seven days had a high mortality. Respiratory diseases accounted for over 1/3 of all, pneumonia and common cold accounted for 98 percent a-mong them. They occurred mainly in winter and spring. The primary reasons for the diseases were high altitudes, a dry climate and large temperature difference between day and night and so on. It is necessary that we should take good care of the neonatswithin seven days after birth, prevent premature laber and supply increasingly the women with frace elemants, especially Iodine, during their courses of pregnancy in order to reduce the neonates' mortality.