90例新生儿死亡病例临床分析

摘要

目的：回顾性总结和分析东港市妇幼保健院住院新生儿死亡病例的死亡主要原因及防治措施。方法收集东港市妇幼保健院新生儿科2011年1月～2015年6月住院新生儿死亡病例，分析住院新生儿死亡病例的临床主要死因。结果共收治住院新生儿3125例，死亡90例，总病死率2.88％。其中早产儿49人（54.44％），足月儿41人（45.56％）；出生7 d内死亡有60例，占新生儿死亡的67.67％；死亡病因前4位为：感染致败血症，窒息致多器官衰竭，先天发育畸形及呼吸系统疾病合并呼吸衰竭。结论加强产前各种检查，降低早产发生率，降低出生缺陷，预防感染，提高新生儿窒息复苏技术，加强早产儿的监护、护理和治疗措施，可有效降低新生儿死亡率。%Objective To retrospectively summarize and analyze the main causes and prevention measures of neonatal death in donggang maternal and child health hospital. MethodsWe colected donggang city maternal and child health care hospital neonatal from January 2011 to June 2015,hospitalized cases of neonatal death and analysis of hospitalized neonatal death were the main clinical death.Results There were 3 125 cases of neonatal hospitalization,90 cases died,the total mortality rate was 2.88%. The premature 49(54.44%),moon 41(45.56%),born within 7 days of death in 60 cases,accounting for neonatal death 67.67%,death causes before 4: infection induced sepsis,asphyxia,resulting in multiple organ failure,congenital malformations and respiratory system diseases complicated with respiratory failure. Conclusion To strengthen prenatal examination,reduce the incidence of premature birth,reduce birth defects,prevention of infection,improve neonatal asphyxia recovery technology,strengthen the monitoring of premature infants, care and treatment measures,can effectively reduce the neonatal mortality.