摘要
目的探讨胎儿猝死的原因,提出预防措施,降低围产儿死亡率。方法对2005年12月—2008年12月在临海市4家医院孕周≥35周确诊为死胎住院分娩或住院期间胎儿猝死的病例共77例进行回顾性分析。结果胎儿猝死的主要原因依次为胎盘因素17例,致死性胎儿畸形14例,脐带因素10例,双胎之一胎儿宫内死亡6例,胎儿宫内生长受限5例,梅毒2例,胎盘早剥2例,产前子痫、子宫破裂、宫内感染各1例,不明原因18例。结论加强围产期保健,及早发现并治疗各种妊娠并发症和合并症,对高危妊娠者,适时终止妊娠,可减少胎儿猝死的发生。
OBJECTIVE To discuss the reasons of foetus sudden death,raise the precautionary measures and degrade the death rate. METHOD From November 2005 to November 2008, 77 cases of pregnant women (≥35 gestational weeks) in four hospitals who diagnosed as fetal death hospitalized delivery or hospitalized fetus sudden death were analyzed retrospectively. RESULTS The major reasons were placenta factor of 17 cases, fatal fetal anomaly of 14 cases, umbilical fetus factor of 10 cases, intrauterine death of 6 cases, intrauterine growth restriction of 5 cases, syphilis of 2 cases, placental abruption of 2 cases, antepartum eclampsia of 1 cases, rupture of uterus of 1 cases, intrauterine infection of 1 cases and unknown causes of 18 cases. CONCLUSION Strengthening perinatal care, early detection and treatment with pregnancy complication and termination of pregnancy at the right moment for high-risk pregnancy women can decrease the rates of foetus sudden death.
出处
《中国初级卫生保健》
2009年第8期59-60,共2页
Chinese Primary Health Care
关键词
死胎
死产
围产儿
stiubom feetus
stillbirth
perinatal