CAJ | 학술논문

目的了解近2年西安市儿童医院急诊患者死亡疾病谱变化和直接死亡原因.方法对2009年至2010年我院收治的130例急诊死亡病例进行回顾性分析.结果 2009年主要死亡疾病依次为:肺炎,先天性心脏病,窒息,新生儿肺出血,颅内出血;2010年主要死亡疾病依次为:肺炎,窒息,病毒性脑炎,先天性心脏病,新生儿肺出血,两年死亡疾病谱发生了明显变化.91例患儿找到直接死亡原因,依次为:呼吸衰竭25例(27.5％),心力衰竭17例(18.7％),休克17例(18.7％),窒息16例(17.5),脑疝16例(17.5％).结论要降低急诊患儿的病死率,必须加强婴幼儿卫生保健,积极治疗肺部感染和全身感染,积极抗休克治疗,控制心力衰竭,以及预防误吸.
목적 료해근2년서안시인동의원급진환자사망질병보변화화직접사망원인.방법 대2009년지2010년아원수치적130례급진사망병례진행회고성분석.결과 2009년주요사망질병의차위:폐염,선천성심장병,질식,신생인폐출혈,로내출혈;2010년주요사망질병의차위:폐염,질식,병독성뇌염,선천성심장병,신생인폐출혈,량년사망질병보발생료명현변화.91례환인조도직접사망원인,의차위:호흡쇠갈25례(27.5％),심력쇠갈17례(18.7％),휴극17례(18.7％),질식16례(17.5),뇌산16례(17.5％).결론 요강저급진환인적병사솔,필수가강영유인위생보건,적겁치료폐부감염화전신감염,적겁항휴극치료,공제심력쇠갈,이급예방오흡.
Objective To analyze the change of disease spectrum and the direct cause of death in Xi'an Children's Hospital emergency patients in the past 2 years.Methods The cases of death in 130 emergency cases from 2009 to 2010 were retrospectively analyzed.Results The main causes of death in 2009 were pneumonia,congenital heart disease,asphyxia,neonatal pulmonary hemorrhage and intracranial hemorrhage.Meanwhile,The main cause of death in 2010 were pneumonia,asphyxia,viral encephalitis,congenital heart disease and neonatal pulmonary hemorrhage,which significantly changed compared with 2009.Major direct causes of death were found:respiratory failure in 25 cases (27.5％),heart failure in 17 patients ( 18.7％ ),shock in 17patients ( 18.7％ ),asphyxia in 16 cases ( 17.5％ ),and hernia in 16 cases ( 17.5％ ),Conclusion In order to reduce the mortality rate of emergency patients,we should strengthen health care,actively manage pulmonary infection,systemic infection,and shock,control heart failure,and prevent aspiration.