法医学杂志

法医学杂志 ›› 2019, Vol. 35 ›› Issue (1): 39-43.DOI: 10.12116/j.issn.1004-5619.2019.01.007

• 案例分析 • 上一篇    下一篇

重庆地区102例围产儿死亡原因及相关因素分析

杨智曦1，2， 魏泽红2， 邹星2， 余华2， 汪婷2， 胡玥2， 李剑波2， 唐任宽2   

  1. 1. 重庆市人口和计划生育科学技术研究院 国家卫生计生委出生缺陷与生殖健康重点实验室 重庆市正鼎司法鉴定所，重庆 400020； 2. 重庆医科大学基础医学院法医学教研室，重庆 400016
  • 发布日期:2019-02-25 出版日期:2019-02-28
  • 通讯作者: 唐任宽，男，博士，教授，主要从事法医病理学和法医临床学研究；E-mail：renktang2012@163.com
  • 作者简介:杨智曦（1983—），男，主检法医师，主要从事法医病理学和法医临床学研究；E-mail：82448894@qq.com

Analysis of Causes of Death and Related Factors of 102 Perinatal Infants in Chongqing

YANG Zhi-xi1,2, WEI Ze-hong2, ZOU Xing2, YU Hua2, WANG Ting2, HU Yue2, LI Jian-bo2, TANG Ren-kuan2   

  1. 1. Chongqing Population and Family Planning Science and Technology Research Institute, Key Laboratory of Birth Defects and Reproductive Health of National Health and Family Planning Commission, Chongqing Zhengding Judicial Identification Institute, Chongqing 400020, China; 2. Department of Forensic Medicine, College of Basic Medicine, Chongqing Medical University, Chongqing 400016, China
  • Online:2019-02-25 Published:2019-02-28

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摘要： 目的 从法医学角度分析围产儿死亡原因及相关因素，为降低围产儿死亡率提供参考，为法医学鉴定提供指导。 方法 对2004—2016年重庆医科大学法医学教研室102例围产儿尸体解剖及临床资料进行回顾性分析。 结果 102例围产儿死亡中新生儿死亡66例（64.71%）、死胎24例（23.53%）、死产12例（11.76%）。66例新生儿出生1 d内死亡39例（59.09%），1~3 d死亡19例（28.79%），>3~7 d死亡8例（12.12%）。新生儿死亡原因前三位分别为肺部疾病、先天畸形、脐带及胎盘异常，而死胎、死产的死亡原因主要为脐带及胎盘异常、宫内窒息。 结论 肺部疾病、脐带及胎盘异常、先天畸形为围产儿死亡的主要原因，为降低围产儿死亡率需加强孕前检查及产前监护，普及孕期保健知识。

关键词: 法医病理学, 围产儿, 死亡, 死亡原因, 相关因素, 重庆

Abstract: Objective To analyze the causes of perinatal death and related factors from the perspective of forensic medicine, and to provide references for reducing perinatal mortality and guidance for forensic identification. Methods A retrospective analysis was performed on 102 cases of perinatal autopsy with clinical data from the Department of Forensic Medicine of Chongqing Medical University in 2004-2016. Results Of the 102 cases of perinatal deaths, 66 （64.71%） were neonatal deaths, 24 （23.53%） were stillborn foetuses, and 12 （11.76%） were stillbirths. Among the 66 neonatal death cases, 39 （59.09%） died within 1 d, 19 （28.79%） died within 1-3 d, and 8 （12.12%） died within >3-7 d of birth. The top 3 causes of neonatal death were pulmonary diseases, congenital malformation, umbilical cord and placental abnormalities. The causes of stillborn foetus and stillbirth were mainly umbilical cord and placental abnormalities, and intrauterine asphyxia. Conclusion Pulmonary diseases, umbilical cord and placental abnormalities, and congenital malformations are the main causes of perinatal death. In order to reduce the perinatal mortality, pre-pregnancy examination and prenatal care should be strengthened, and the knowledge of pregnancy care should be popularized.

Key words: forensic pathology, perinatal infant, death, cause of death, related factor, Chongqing