1177例住院新生儿病例分析

The analysis of 1177 newborn inpatients

目的:调查我院新生儿科住院患儿的患病构成比及病死率,为新生儿疾病的防治提供依据。方法:对我院2006年住院的1 177例新生儿疾病进行调查分析。结果:新生儿疾病按构成比大小依次为早产儿32.0%;吸入性肺炎17.6%;新生儿黄疸16.6%;新生儿窒息13.2%;缺氧缺血性脑病(脑损伤)10.3%等。按病死率依次为早产儿44.6%、新生儿窒息28.1%、吸入性肺炎20.3%、颅内出血15.6%、缺氧缺血性脑病(脑损伤)12.5%、新生儿呼吸窘迫综合症9.4%等。结论:做好围产期保健,减少新生儿窒息发生率及早产低体重儿的出生,加强新生儿呼吸管理,可有效降低新生儿疾病的发病率及死亡率。

Objective： To investigate the constituent ratio of diseases and mortality of inpatients in the neonatal department. To provide reference frame to prevent and cure the neonatal diseases. Methods： One thousand and one hundred seventy seven cases of newborn inpatients in our hospital in 2006 were investigated. Results： The newborn inpatients, diseases are premature （32.0%）, pneumonia （17.6%）, jaundice （16.6%）, asphyxia （13.2%）, hyaline membrane disease（HIE） （10.3%） and et al, according to the constituent ratio of diseases. Mortality from high to low are as follows： premature （44. 6%）, asphyxia （28.1%）, pneumonia （20. 3%）, intracranial hemorrhage （15. 6%）, HIE （12. 5%）, neonatal hyaline membrane disease （9.4%）. Conclusion： Making good health protection before delivery, reducing the inci- dence of asphyxia and premature or low birth weight infant, strengthening the control of neonatal respiratory tract can effectively decrease the newborns＇ morbidity and mortality.