219例围产儿死亡原因分析

The analysis on the death causes of 219 perinatal fetals

目的分析围产儿死亡的主要原因，为有效降低困产儿死亡率提供依据。方法收集1999-2008年间219例围产儿死亡病例，对其死因进行回顾性分析。结果死因：早产92例，畸胎51例，脐带异常33例，胎盘异常16例，胎住异常15例，梅毒6例，新生儿死亡6例。户籍人口29人，流动人口190人。结论1999-2003年早产是围产儿死亡的主要病因，其次为畸胎及脐带异常。2004-2008年畸胎是围产儿死亡主要原因。其次为早产及脐带异常。作好流动人口孕期管理，及时诊断处理各种胎儿畸形及妊娠合并症，重视脐带异常的检出及产科处理，能有效降低围产儿死亡率。

Objective To provide the basis for preventive measures in order to effectively reduce the perinatal mortality through analyzing the causes of pefinatal death. Methods The data from 219 cases of perinatal deaths from 1999 to 2008 was retrospectively analyzed. Results The causes of pefinatal death were premature birth in 92 cases, 51cases with teratology, 33 cases with umbilical cord abnormalities, 16 cases with placenta abnormalities, 15cases with abnormal fetal position, 6 cases with syphilis, and 6 cases with neonatal death respectivelt. There was 29 cases with resident population and 190 cases with floating population respectively. On the death statistics, the first cause for perinatal death was premature birth and followed by teratology and umbilical cord abnormalities respectively from 1999 to 2003. While the first cause for perinatal death was teratology and followed by premature birth and umbili- cal cord abnormalities respectively between 2004and 2008. Conduslon It was the important role of pregnant managements for floating population, perinatal care, timely diagnosis and treatment of fetal abnormalities and gestation complications as well as umbilical cord in reducing pefinatal mortality.