新生儿先天性心脏病围手术期死因的尸检病理分析

An autopsies analysis of perioperative death in newborns with congenital heart deseases

目的从病理学角度分析新生儿先天性心脏病围手术期的死亡原因。方法收集15例围手术期死亡的新生儿先天性心脏病尸检病例,复查病理资料,分析其死亡原因。结果先天性心脏病新生儿围手术期病死率为28·6%,尸检率为62·5%。临床与尸检病理诊断符合率为86·67%,主要死因包括心脏原因(9例),肺部感染(4例)及应激性肾上腺出血(2例)。结论加强新生儿先天性心脏病围手术期的心肺保护,加强尸检意识,有助提高手术成功率。

Objective To aualyse the pathological chauges and the cremes of death in perioperation of newborns with congenital heart diseases from the neonatal autopsies. Methods 15 neonatal autopsy cases with congenital heart diseases were collected. Their pathological changes and the causes of death were reviewed. Results The perioperative mortality rate was 28.6%. The autopsy rate was 62.5%. The diagnostic consistence rate was 86.67%. The main causes of death included heart failure in 9 cases, pulmonary infection in 4 and stressful hemorrhage in adrenal gland in 2. Conclusion Attention to protect heart and lung will help to surgical suetess of newborns with congenital heart diseases.