CAJ | 학술논문

目的探讨早产儿死亡的原因及危险因素,为降低早产儿病死率提供依据.方法回顾性分析2007年1月~2011年12月广东省广州市白云区妇幼保健院死亡的50例早产儿的临床资料.结果早产儿死亡数占同期早产儿的2.83%,死亡原因中肺透明膜病(RDS)仍居首位,其他原因依次为肺出血、窒息、颅内出血、坏死性小肠结肠炎(NEC)、气胸、败血症、肺炎、畸形等,胎龄或体重越小,早产儿病死率越高.结论坚持开展围产期健康教育,加强高危妊娠的病情观察及监护,积极预防和治疗各种并发症,提高产、儿科防治水平,早期发现各种危险因素,减少及预防早产儿发生率是降低早产儿病死率、提高早产儿生活质量的关键.
목적탐토조산인사망적원인급위험인소,위강저조산인병사솔제공의거.방법회고성분석2007년1월~2011년12월광동성엄주시백운구부유보건원사망적50례조산인적림상자료.결과조산인사망수점동기조산인적2.83%,사망원인중폐투명막병(RDS)잉거수위,기타원인의차위폐출혈、질식、로내출혈、배사성소장결장염(NEC)、기흉、패혈증、폐염、기형등,태령혹체중월소,조산인병사솔월고.결론견지개전위산기건강교육,가강고위임신적병정관찰급감호,적겁예방화치료각충병발증,제고산、인과방치수평,조기발현각충위험인소,감소급예방조산인발생솔시강저조산인병사솔、제고조산인생활질량적관건.
Objective To study the death cause and risk factor of premature infant, provide evidence for reducing death rate of premature infants. Methods The clinic information of 50 premature infants of the death during 2007.1~2011.12 was analyzed retrospectively. Results About 2.83%of premature infants were dead among the newborn infants. The main cause of death was RDS.And the other causes of which were lung hemorrhage,asphyxia,intra cranial hemorrhage,NEC,pneumothorax, septicemia, pneumonia and malformation etc.The younger the weights and gestational weeks were, the higher the death ratio was. Conclusion We should persist in the health education of the perinatal period, enhance the observation and wardship, prevent and treat various of complications, advance the cure level of obstetrics and pediatrics,find various risk factors earlier and reduce the occurrence rate of premature infants. These measures are very important for finding various risk factors early and reducing the death ratio and improving life quality of premature infants.