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自1961~1989年我院共作新生儿尸检932例,其中肺部疾病597例(64.5%)。本组死亡原因以感染302例(50.6%),呼吸衰竭症228例(38.2%),肺未成熟3.2%,畸形2.7%,产伤2.2%,其他3.2%,本组临床与病理诊断不符共166例(27.6%),误诊依次为肺脓疡(95.1%),或人型呼吸窘迫综合征(75%)、肺不张(67.5),肺透明膜病(46.1%)。文章就死因及误诊原因进行了讨论,并指出诊断意见。
A total of 932 neonatal autopsies were performed in our hospital from 1961 to 1989, of which 597 were pulmonary diseases (64.5%). The causes of death in this group were 302 cases (50.6%), 228 cases of respiratory failure (38.2%), immature lung 3.2%, malformation 2.7%, birth trauma 2.2%, the other 3.2%, the clinical and pathological diagnosis of this group does not match 166 cases (27.6%) were diagnosed as pulmonary abscess (95.1%), human respiratory distress syndrome (75%), atelectasis (67.5%) and hyaline membrane disease (46.1%). The article discussed the causes of death and misdiagnosis, and pointed out the diagnostic opinion.