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目的分析我院1984年至2003年20年新生儿死因的变化。方法回顾性分析我院20年382例死亡新生儿病例。结果前六位死因不同时间段顺序分别为:1984 ̄1993年为早产、吸入性肺炎、胎儿宫内窘迫、畸形、新生儿硬肿症及肺透明膜病;1994 ̄2003年早产仍为首位,胎儿宫内窘迫升为第二位,肺透明膜病升为第三位,后依次为畸形、硬肿症、吸入性肺炎。结论1、20中,早产死因一直高居首位;2、肺透明膜病上升,不仅见于早产儿,也见于窒息的缺氧足月儿;3、宫内窘迫或产程中缺氧所致的死因也升高。由此提示:应预防早产,提高接生质量,加强对农村及流动人口的孕育知识宣教,对减少新生儿死亡,具有重要意义。
Objective To analyze the changes of neonatal mortality in our hospital from 1984 to 2003. Methods A retrospective analysis of 382 cases of neonatal deaths in our hospital in 20 years. Results The sequence of the six causes of death at different time periods were as follows: premature birth, aspiration pneumonia, fetal distress, deformity, neonatal scleredema and hyaline membrane disease from 1984 to 1993. Premature labor was still the first place from 1994 to 2003, Fetal distress rose to second place, hyaline membrane disease rose to third place, followed by deformity, scleredema, aspiration pneumonia. Conclusion 1, 20, the cause of prematurity has been highest in the first place; 2, hyaline membrane disease increased, not only seen in premature children, but also found in suffocation of hypoxic term infants; 3, intrauterine distress or labor due to hypoxia also cause of death Rise. Therefore, it is of great significance to prevent premature birth, improve the quality of births and strengthen the knowledge and education about the nurturing of rural and migrant population, so as to reduce the neonatal death.