摘要
目的：对２５例剖宫产儿死亡原因进行分析。方法：对我科１９８９年１月至１９９６年１２月３１日间２５例剖宫产死亡新生儿的情况进行回顾性分析。结果：２５例均为高危妊娠。新生儿死亡主要为胎粪吸入综合征引起的缺血、缺氧性脑病，其次为畸形儿，颅内出血占第３位。结论：加强产前、产时监测，提高超声仪器的分辨力和产前诊断的水平，正确掌握剖宫产指征和手术时机。孕妇在术前及术中应取左侧１５度倾斜位。
Objective: To analyze the causes of perinatal death in cesarean sections. Methods: This clinical retrospective study induded 25 perinatal deaths of the newborns delivered by cesarean section since Jan 1989 to Dec 1996. Results: The 25 pregnant women were all complicated with high risk factors. The main cause of death was fetal hypoxic ischemic encephalopathy due to meconeum aspiration syndrome (11). Eight cases of congenital deformity (8) ranked the second and intracranial hemorrhage (4) the third. Conclusions: Strenthening the quality of antenatal care and monitoring the labor course, improving the distinctive ability of ultrasonic devices for antenatal diagnosis and carefully selecting the indications and the time of cesarean section are very importomt for decreasing the perinatal fatality. Besides, it is emphasized that during epidural anesthesia, sudden drop of blood pressure of the patient should be avoided because it may aggravate the fetal asphyxia.
关键词
剖腹产
胎儿窘迫症
死因
fetal distress
cesarean section
perinatal death
