论文部分内容阅读
本文对辖区内近3年来由于感染引起的围产儿死亡情况进行回顾性分析，并与同期分娩健康围产儿的对照组产妇分娩情况相比较。结果发现：我区围产儿总死亡率为21．36％.（175／8193），其中国感染引起的围产儿死亡43例，占围产儿死亡的24．57％；感染原因以吸入性肺炎占首位（占60．47％），其次为败血症（30．23％），鼠伤寒及宫内感染（各4．7％）；感染围产儿的产母总产程较对照组明显延长（平均20．69h），其产时胎儿窘迫并羊水污染发生率均明显高于健康围产儿产母（P＜0．01）。今后工作中应做好以下工作：①加强产时监护，避免产程延长，积极处理胎儿窘迫；②对胎膜早破分娩的围产儿应注意观察，预防感染；③积极防治胎粪吸入综合症；④提高围产儿死亡尸捡率，明确病因，有效预防。
This article retrospectively analyzed the perinatal deaths caused by infection in the past three years in the area and compared with the maternal labor in the control group of healthy perinatal delivery during the same period. The results showed that: My perinatal mortality rate was 21.36% (175/8193), of which 43 cases of perinatal deaths caused by infection in China, accounting for 24.57% of perinatal deaths; the cause of infection accounted for aspiration pneumonia (60.47%), followed by sepsis (30.23%), typhoid fever and intrauterine infection (4.7% each). The perinatal labor was significantly prolonged (median 20 years) compared with the control group. 69h), the incidence of fetal distress and amniotic fluid contamination were significantly higher than that of healthy perinatal infants (P <0.01). Future work should do the following: ① strengthen the guardian of labor hours, to avoid prolonged labor, to actively deal with fetal distress; ② premature rupture of membranes perinatal children should pay attention to observe and prevent infection; ③ active prevention and treatment of meconium aspiration syndrome; ④ improve perinatal mortality rate of dead pick, a clear cause, effective prevention.