Nghiên cứu tình hình tử vong sơ sinh tại Trung tâm Nhi khoa - Bệnh viện Bạch Mai=Research on neonatal mortality in the Pediatric Center of Bach Mai Hospital

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Tác giả: Hoàng Hải Đỗ, Thành Nam Nguyễn, Văn Đếm Phạm, Văn Hưng Phạm

Ngôn ngữ: vie

Ký hiệu phân loại:

Thông tin xuất bản: Y học cộng đồng, 2023

Mô tả vật lý: tr.86-94

Bộ sưu tập: Metadata

ID: 477762

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Mô tả tình hình tử vong sơ sinh tại trung tâm Nhi khoa- Bệnh viện Bạch Mai. Đối tượng và phương pháp nghiên cứu: Nghiên cứu mô tả thực hiện 373 trẻ sơ sinh đẻ non nhập viện tại Trung tâm Nhi khoa, Bệnh viện Bạch Mai. Kết quả: Trong tổng số 373 trẻ sơ sinh nhập viện có 32 trẻ sơ sinh tử vong chiếm tỷ lệ 8,6%, hầu hết trẻ sơ sinh nhập viện ở ngày tuổi thứ 1 chiếm tỉ lệ 70% (261/373), 68,8% tử vong xảy ra trong tuần đầu, tỷ lệ tử vong giảm dần trong các tuần tiếp theo, với tỷ lệ lần lượt là 15,6% ở tuần 2, 9,4% ở tuần 3 và 6,2% ở tuần 4. Trong tuần đầu tử vong chủ yếu ở 3 ngày đầu sau đẻ với 56,3%
Nguyên nhân tử vong cao nhất là non tháng và biến chứng (37,5%), tiếp theo là ngạt chu sinh với 34,4%. Hai nguyên nhân dị tật bẩm sinh và NKSS với tỷ lệ lần lượt là 21,9% và 6,3%. Kết luận: Tỷ lệ TVSS còn tương đối cao, hầu hết trẻ sơ sinh nhập viện là sơ sinh non tháng, phần lớn TVSS tử vong xảy ra ở tuần đầu sau đẻ, nguyên nhân chính gây tử vong ở trẻ sơ sinh là các biến chứng của sinh non và ngạt sau đẻ.To study neonatal mortality in the pediatric center of Bach Mai Hospital. Subject and methods: A descriptive study was conducted on 373 neonatal admitted to the pediatric center of Bach Mai Hospital. Results: Of the 373 hospitalized infants, 32 died, accounting for 8.6%. Most newborns hospitalized on the first day accounted for 70% (261/373). About 68.8 % of neonatal deaths occurred in the first week, and the mortality rate gradually decreased over time, with a rate of 15.6% in the second week, 9.4% in the third week, and 6.2% in the fourth week. In the first week, mortality was mainly in the first three days after giving birth, with a rate of 56.3%. Preterm birth with complications is a leading cause of death in neonatal with a rate of 37.5%, followed by perinatal asphyxia with a rate of 34.4%. Two causes of birth defects and neonatal sepsis with rates of 21.9% and 6.3%, respectively. Conclusion: The rate of neonatal mortality is still relatively high. Most newborns admitted to the hospital are preterm. Most infant deaths occur in the first week after birth. The preterm birth with complications postpartum asphyxia is a leading cause of death in neonatal.

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