本文总结186例尸检,其中102例同时进行胎盘病理检查,从中分析围产儿死亡原因。死胎死产均以胎盘脐带因素引起宫内缺氧为首,新生儿死亡主要因肺部疾患,其次为先天畸形。如能提高早期宫内诊断畸形儿及加强产前产时监护是能够降低围产儿死亡率。 This paper summarizes 186 autopsy, of which 102 cases of placental pathology at the same time, from the analysis of perinatal causes of death. Stillbirth stillbirth caused by intrauterine hypoxia caused by placental umbilical cord factors, neonatal deaths mainly due to lung disease, followed by congenital malformations. If you can improve the early diagnosis of intrauterine fetal malformations and strengthen prenatal care is able to reduce perinatal mortality.