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目的分析妊娠晚期胎死宫内的相关因素。方法对299例孕28周以后的宫内死胎病例,依据临床病史、围产儿尸体解剖及胎盘病理学检查进行死因相关因素分析。结果死因主要集中于脐带胎盘因素、胎儿因素、宫内感染及妊娠合并内科疾病等,部份宫内死胎尸体脏器自溶,死因不明。结论加强围产保健,及早筛查畸形胎儿及预防胎儿宫内发育迟缓(IUGR)的发生,防治宫内感染、妊高征及内科合并症,有助于减少妊娠晚期死胎的发生率,从而降低围产儿死亡率。
Objective To analyze the related factors of intrauterine pregnancy in late pregnancy. Methods 299 cases of intrauterine fetal death after 28 weeks of pregnancy cases, based on clinical history, perinatal autopsy and placental pathology of the cause of death related factor analysis. Results The cause of death mainly focused on umbilical cord placenta, fetal factors, intrauterine infection and pregnancy complicated with medical diseases. Some of the intrauterine fetal necrosis autopsy organs, the cause of death is unknown. CONCLUSIONS: Strengthening perinatal care, screening early abnormal fetuses and preventing intrauterine growth retardation (IUGR), prevention and treatment of intrauterine infection, pregnancy-induced hypertension and medical comorbidities may help reduce the incidence of stillbirths in the third trimester of pregnancy and thus reduce Perinatal mortality.