摘要
目的从法医学角度探讨围产儿主要死亡原因,为临床医生对围产儿疾病的诊断和治疗提供新的方向,以期减少围产儿死亡率,同时为法医鉴定提供参考。方法查阅2007年1—12月安徽皖医司法鉴定中心法医病理解剖尸检档案,收集并统计围产儿孕周、性别、死亡原因及其死亡发生所在医院。结果围产儿死亡法医鉴定占同期尸检总数的9.1%,围产儿孕周主要位于37~40周,早期死亡新生儿年龄主要为0~1 d,围产儿死因排前三位的是呼吸系统疾病、脐带因素、神经系统疾病;分别占疾病总数的58.34%、13.33%、10.00%,围产儿死亡发生地点县级医院占首位;占发生医院总数的60.00%,省级医院比例最少;为6.67%。结论法医鉴定围产儿死亡原因主要为缺血、缺氧导致围产儿呼吸窘迫,最后引起单纯羊水吸入窒息而死,其中围产儿死亡发生地点县级医院所占比例最大。
Objective To explore the causes of perinatal death from a forensic point of view,providing a new direction for clinicians to diagnose and treat perinatal diseases,aimed to reducing perinatal mortality and providing references for forensic identification.Methods From January to December 2007,the archives of forensic pathological autopsy of Anhui Medical Forensic Appraisal Center were consulted,and the perinatal gestational week,sex,cause of death and the hospital where the death occurred were collected and counted.Results The forensic identification of perinatal deaths accounted for 9.1% of the total autopsy at the same period.The perinatal gestational age was mainly between 37 w and 40 w.The age of early neonatal death was mainly 0-1 d,and the top three perinatal causes accounted for 58.34%,13.33% and 10% respectively of the total number of diseases;the county hospitals ranked the first place where the perinatal death occurred;accounted for 60% of the total number of hospitals,the proportion of provincial hospitals at the last,account for 6.67%.Conclusions Forensic identification of perinatal causes of death mainly due to ischemia,hypoxia led to perinatal respiratory distress,and finally caused by suffocation inhalation of amniotic fluid alone,the perinatal death occurred at the county hospital accounted for the largest proportion.
作者
赵旭
陈阳
ZHAO Xu(Department of Forensic Pathology,Wannan Medical College,Wuhu,Anhui,241002,China)
出处
《齐齐哈尔医学院学报》
2018年第4期436-438,共3页
Journal of Qiqihar Medical University
关键词
法医学
围产期死亡率
Forensic medicine
Perinatal mortality
