300例围产儿死亡原因分析

首都医科大学学报 ›› 1984, Vol. 5 ›› Issue (2): 102-105,111.

300例围产儿死亡原因分析

北京第二医学院病理解剖教研室围产期科研小组

北京第二医学院病理解剖教研室围产期科研小组

收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:1984-04-15 发布日期:1984-04-15

Analysis of the Causes of Death of 300 Cases of Perinatal Fetus and Neonate Department of Pathology

Received:1900-01-01 Revised:1900-01-01 Online:1984-04-15 Published:1984-04-15

摘要/Abstract

摘要：

本文对300例围产儿的临床和尸解材料进行分析。结果表明感染在围产儿死亡原因中占首位,宫内窒息为第二位,畸形为第三位,肺功能异常为第四位,妊娠中毒症为第五位。感染中主要是死于肺炎,占300例中的26.67%。因此如何控制肺部感染,提高诊断和治疗水平为降低围产儿死亡的重要环节之一。文中对围产儿肺炎进行了组织学分类,将肺炎分为急性弥漫性肺炎(即先天性吸入性肺炎),支气管肺炎,间质性肺炎和其他少见类型。通过胎免吸入性肺炎的动物模型进一步阐述了以新生儿胎盘和脐带的冰冻切片看胎盘和脐带有无炎症是有助于肺炎诊断的快而可靠的方法。

Abstract:

A review was made of the clini-cal history and postmortem diagno-sis of 300 fetus and neonate dea-ths as determined by autopsy.The highest proportion of deaths was noted in fetuses and neonates who died of infection. Intrauterine anoxia ranked second,malformation ranked third,abnormal pulmona-ry function ranked fourth and toxemia ranked fifth.The majority of deaths from infection was pneumonia.It account for 26.69% of the 300 cases analyzed.An acc-urate diagnosis and proper treatm-ent are important in reducing the mortality rate of perinatal pneumo-nia. The pneumonia was classified histologically into acute diffuse pneumonia(congenital aspiration pneumonia),bronchopneumonia, interstitial pneumonia and miscella-neous cases of pneumonia.Experi-mental study of the pneumonia of fetal rabbit demonstrated that pneu-monia is of ten associated with in-flammation of the placenta and cord. Frozen Section of the placenta and cord is necessary for an early diag-nosis of pneumonia.

北京第二医学院病理解剖教研室围产期科研小组. 300例围产儿死亡原因分析[J]. 首都医科大学学报, 1984, 5(2): 102-105,111.