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目的:回顾性分析可能造成胎儿猝死的原因,探究临床有效预防胎儿猝死的方法。方法:回顾性分析嘉兴市妇幼保健院2010年1月-2012年12月间27例胎儿猝死患者临床资料,进行死亡原因分析。结果:27例患者中胎盘异常7例(25.93%)、脐带因素7例(25.93%)、胎儿生长受限7例(25.93%)、妊娠期肝内胆汁淤积症3例(11.11%)及单纯母体血液浓缩3例(11.11%)。结论:胎儿猝死与胎儿发育及其附属物有关,同时亦受到母体因素的影响。加强辅助检查结果分析,并加强医患沟通,可减少胎儿猝死发生带来的不良影响。
OBJECTIVE: To retrospectively analyze the possible causes of fetal sudden death and to explore the clinical effective ways to prevent sudden death. Methods: The clinical data of 27 cases of sudden fetal death in Jiaxing MCH from January 2010 to December 2012 were analyzed retrospectively. The cause of death was analyzed. Results: Among the 27 patients, 7 cases (25.93%) had abnormal placenta, 7 cases (25.93%) had umbilical cord injury, 7 cases (25.93%) had fetal growth restriction, 3 cases (11.11%) had intrahepatic cholestasis of pregnancy Mother blood concentration in 3 cases (11.11%). CONCLUSIONS: Fetal sudden death is associated with fetal development and its appendages and is also affected by maternal factors. Strengthen the analysis of ancillary examination results, and strengthen communication between doctors and patients, can reduce the adverse effects of sudden fetal death.