深圳市宝安区孕产妇死亡原因分析

Analysis on cause of pregnant and parturient women's death in Baoan District of Shenzhen City

目的：探讨降低孕产妇死亡率，消除新生儿破伤风方法。方法：选自深圳市宝安区妇幼保健院2004年1月1日-2005年9月30日对广东省孕产妇死亡监测点之一的深圳市宝安区8个镇和2个城区2年来所发生的孕产妇死亡共30例进行个案调查核实，对监测点所发生的孕产妇死亡接报后实行三级（镇、区、市）实地调查、核实，通过三级评审明确死因、性质，按规定逐级上报的方法。结果：2年来该地区同期活产数58 671例，孕产妇死亡共30例，平均孕产妇死亡率51．13／10万，其中流动人口死亡共29例，死亡率49．42／10万，暂住人口孕产妇死亡1例，死亡率19．18／10万，常住人口死亡数为零。孕产妇死亡主要原因依次为：产科出血9例，羊水栓塞8例，妊娠期高血压疾病5例，肺炎3例，心脏病1例，产褥感染1例，胃癌晚期1例，主动脉夹层瘤破裂1例，猝死1例。结论：制定出有效下预措施防止孕产妇死亡的发生。

Objective： 30 cases of dead pregnant and parturient women from eight counties and two districts in Baoan District of Shenzhen from Jan. Ist, 2004 to Sep. 30th, 2005 were investigated to reduce the mortality of pregnant and parturient women and eliminate the newborns tfismus. Methods： The death of pregnant and parturient women reported were investigated and verified to review the death cause, character and report progressively. Results： 58 671 cases of pregnant and parturient women within two years, there were 30 dead cases, the average mortality 51.13/105 （thereinto floating population 29 cases, mortality 49. 42/105; temporary resident population 1 case, mortality 19. 18/105 ; resident population 0 case） . The major death causes were following as 9 cases of obstetric hemorrhage, 8 cases of amnionic fluid embolism, 5 cases of pregnancy induced hypertension, 3 cases of pneumonia, 1 case of cardiopathy, 1 case of puerperal infection, 1 case of advanced gastric carcinoma, 1 ease of rupture of aortic dissection and 1 case of sudden death. Conclusion： The effective intervention measurements should be carried out to prevent the death of pregnant and parturient women.