MMWR Morb Mortal Wkly Rep. 1995 Apr 7;44(13):253-5, 261.
Fetal alcohol syndrome (FAS) is one of the leading causes of preventable birth defects and developmental disabilities in the United States (1). Since 1979, surveillance systems for estimating and tracking FAS have categorized cases using International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM), code 760.71 (2). This code comprises noxious influences affecting the fetus or newborn through placenta or breast milk, specifically alcohol, and includes FAS. Because the code is not specific for FAS and may reflect maternal alcohol consumption during pregnancy or other adverse effects of alcohol on the fetus, CDC assessed the usefulness of this code in ascertaining FAS cases by reviewing medical records for 1981-1993 from the Aberdeen Area Indian Health Service (IHS) and IHS contract facilities in eight of the 19 tribal or American Indian communities in the area. This report summarizes the findings of the analysis.
胎儿酒精谱系障碍（FAS）是美国可预防的出生缺陷和发育障碍的主要原因之一（1）。自1979年以来，用于估计和追踪FAS的监测系统一直使用《国际疾病分类，第九次修订本，临床修订版》（ICD-9-CM）编码760.71对病例进行分类（2）。该编码包括通过胎盘或母乳影响胎儿或新生儿的有害影响，特别是酒精，并包括FAS。由于该编码并非FAS所特有，可能反映孕期母亲饮酒情况或酒精对胎儿的其他不良影响，美国疾病控制与预防中心（CDC）通过审查该地区19个部落或美洲印第安社区中8个社区的阿伯丁地区印第安卫生服务局（IHS）及IHS签约机构1981 - 1993年的医疗记录，评估了该编码在确定FAS病例方面的效用。本报告总结了分析结果。
