229例住院死亡新生儿回顾性分析

目的：探讨住院新生儿死亡原因的变化，以提高新生儿疾病的诊治水平，指导防治重点。方法：对2009年1月至2012年9月的229例住院死亡新生儿以死亡第一诊断为死亡原因进行回顾性分析。结果：住院新生儿死亡率为2.39%，男婴高于女婴，死亡的新生儿多数为生后7d内的早期新生儿，导致新生儿死亡的主要死因为新生儿肺透明膜病、新生儿重度窒息、先天畸形、极早产儿、重症肺炎，产科相关因素为宫内感染、胎膜早破、不定期产检。结论：加强遗传咨询和针对性筛查，减少畸形的发生，定期产检，预防早产、窒息、感染，防止孕期及新生儿期并发症，有利于降低新生儿死亡率。

Retrospective analysis of 229 cases of neonatal in-hospital mortality

Objective： To explore the causes of in-hospital neonatal death for improving the diagnosis and treatment of neonatal diseases. Methods：229 cases of neonatal death from January 2009 to Septerment.2012 in our hospital were retrospectively analyzed, with the first diagnosis of death as the cause of death. Results：The in-hospital neonatal mortality was 2.39%. Neonatal mortality of male was higher than that of female. The majority of neonatal death occurred within 7 days after birth. Pulmonary hyaline membrane disease of newborn, severe neonatal asphyxia, congenital malformation,extremely of preterm infant, and severe pneumonia were the main causes of death for newborns, and intrauterine infection, premature rupture, without regular prenatal examination were main causes related with obstetrics. Conclusion：Enforceing the geneting counseling and targeted screening,to reduce deformities, taking regular antenatal examination, preventing premature birth, asphyxia, and infection, and avoiding the complications during pregnancy and neonatal period are effective measures reduce neonatal mortality.