文档介绍：48例围产儿出生缺陷临床分析
(作者:___________单位: ___________邮编: ___________)
【摘要】目的探讨出生缺陷的产前检查及干预措施,从而降低其发生率。方法对48例出生缺陷儿的产前检查情况、诊断时期及出生缺陷儿的转归等资料进行分析。结果 48例严重出生缺陷新生儿中产前B超诊断阳性20例,均在孕晚期诊断,医疗干预治疗性引产10例,7天内出生缺陷新生儿死亡11例。结论加强孕期保健和产前检查以及及时的干预,可以减少新生儿出生缺陷发生。
【关键词】出生缺陷;产前诊断;干预措施
ABSTRACT Objective To discuss the prenatal diagnosis of birth defects and the intervention measures so as to reduce the incidence. Methods An analysis was made to clinical data of 48 cases with birth defects, including the prenatal examination, the diagnosing time and the e of birth defect. Results Out of the 48 cases with severe birth defects, 20 cases in late duration of pregnancy were ultrasonically diagnosed positive; induced labor was performed to 10 cases, and 11 cases died within 7 days after birth. Conclusions The incidence of birth defects can be reduced by providing good health care for the pregnant, improving prenatal diagnosis and taking intervention measures on time.
KEYWORDS birth defects prenatal diagnosis intervention measures
出生缺陷是指出生的胎儿具有先天畸形或异常,包括胎儿的生理结构、代谢、功能和智力等方面,出生缺陷的种类繁多,几乎胎儿所有的系统和器官均可累及。目前全世界每年分娩的出生缺陷儿达500多万,而我国每年分娩的出生缺陷儿达100万之巨[1],这个数字惊人,它严重影响我国出生人口的素质,同时近年来,肢体及颜面部畸形发生率有所增加趋势,发生医疗纠纷较多,如何对出生缺陷进行早期宫内检测、提高产前诊断率,及早宫内进行干预引起医疗界的关注。我院2003年1月至2007年12月5年间住院分娩3830例中出生缺陷儿48例,%,现对其进行临床分析。
1 临床资料
孕妇情况及胎龄孕妇年龄19~42岁,,城市6例,农村42例,初产妇45例,经产妇3例,胎龄31~42周,,单胎46例,双胎2例,自然分娩29例,剖宫产19例,