武汉市两所医院16年妇产科成人猝死20例回顾性分析

Retrospective analysis of 20 cases of adult sudden death in Depatrment of obstetrics and Gynecology from two hospitals in Wuhan during 1986～2001

目的 调查妇产科住院患者的死亡及猝死的发生率 ,了解妇产科成人猝死基本情况。方法 整理了两所综合医院 16年来死亡病例 6 1例 ,其中猝死病例 2 0例 ,按四个阶段分别统计分析产科和妇科的死亡及猝死的发生率、猝死及死亡之比 ,探讨妇科和产科死亡及猝死的特点及变化 ,找出猝死病因和病种的构成比及顺位。结果 总死亡发生率和猝死发生率分别为 8 15 /万和 2 6 7/万。妇科与产科各自的死亡率和猝死率分别为13 13/万、2 96 /万和 5 86 /万、2 5 4 /万。妇科与产科死亡构成比相当 (5 0 8%和 4 9 2 % )。结论 死亡和猝死的绝对数和发生率呈明显下降趋势 ,但目前还不能阐明猝死的发生机制、病理生理变化等 ,有待于进一步研究。

Objective To investigate the incidence of adult sudden death (SD)from two general hospitals in Wuhan during 1986～2001.Methods The data were analyzed retrospectively from the Department of Obsterics and Gynecology in two general hospitals.Results The incidences of death and SD were 0.815‰ and 0.267‰.The incidences of death and SD from the gynecologic and obstetric were 1.313‰,0.296‰ and 0.586‰,0.254‰,respectively.Conclusion The incidence and the number were reduced evidently in 16 years.The forecast and the prevention of SD are the baffling problem in the world at present;the pathogenesis and pathophysiologic changes can not be clarified yet,and need further research.