P Bétrémieux, P Pladys, P Poulain, H Jouan, S Odent, C Lefrançois, B Le Marec
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引用次数: 0
摘要
一个多学科医师小组对法国某科室(Ille et Vilaine, pr fere: Rennes)的死亡新生儿和死胎进行了为期3年的研究。新生儿128例,死产儿207例,尸检90例(72%),死产儿107例(52%)。尸检对诊断的贡献在两组中差别很大:新生儿为92%,死胎为34%。在死胎中,只有观察到先天性畸形时,尸检才有帮助,而当死亡原因是产科时,尸检就没有帮助了。我们的结论是,必须对所有死亡的新生儿和死胎进行尸检;然而,对于死胎必须补充调查,特别是在胎盘。
[Value and limits of autopsy in perinatal medicine. A plea for complete perimortem evaluation].
The dead newborns and stillborns of a French department (Ille et Vilaine, préfecture: Rennes) were studied during a 3 year period by a multidisciplinary physician group. There were 128 newborns and 207 stillborns among whom autopsies were carried out in 90 (72%) and 107 (52%) respectively. The contribution of the autopsies to diagnosis was highly different in the two groups: 92% in newborns and 34% in the stillborns. In the stillborns, autopsy was only contributive when congenital malformations were observed, whereas it was not when the cause of the death was obstetrical. We conclude that an autopsy must be performed in all dead newborns and stillborns; however for stillborns complementary investigations must be added, particularly on the placenta.