CAJ | 학술논문

目的了解儿童意外损伤发生的原因及危险因素,为意外损伤的防预提供依据.方法对2005年1月1日至2009年8月31日在复旦大学附属儿科医院住院的4 116例意外损伤患儿的临床资料进行回顾性分析.结果意外损伤患儿占同期住院总人数的4.35％ (4 116/94 579).男女之比为2.01∶1.意外损伤前3位病因分别是意外跌伤(30.73％,1 265/4 116)、交通事故(23.71％,976/4 116)和意外坠落( 11.59％,477/4116).意外跌伤主要见于1岁以上儿童,交通事故主要好发于4～7岁儿童,而意外坠落伤则主要见于l岁以内婴幼儿.其中病死率最高的前3位意外损伤原因分别是气道异物、溺水和中毒.意外损伤的好发部位为骨关节.结论儿童意外损伤已严重威胁儿童的生命安全,应根据儿童各年龄段的特点,采取相应的防范措施.
목적 료해인동의외손상발생적원인급위험인소,위의외손상적방예제공의거.방법 대2005년1월1일지2009년8월31일재복단대학부속인과의원주원적4 116례의외손상환인적림상자료진행회고성분석.결과 의외손상환인점동기주원총인수적4.35％ (4 116/94 579).남녀지비위2.01∶1.의외손상전3위병인분별시의외질상(30.73％,1 265/4 116)、교통사고(23.71％,976/4 116)화의외추락( 11.59％,477/4116).의외질상주요견우1세이상인동,교통사고주요호발우4～7세인동,이의외추락상칙주요견우l세이내영유인.기중병사솔최고적전3위의외손상원인분별시기도이물、닉수화중독.의외손상적호발부위위골관절.결론 인동의외손상이엄중위협인동적생명안전,응근거인동각년령단적특점,채취상응적방범조시.
Objective To study the causes and risk factors of childhood accidental injuries as a reference for prevention.Methods A retrospective analysis was made on the clinical data of 4 116 cases of childhood accidents admitted to children's hospital of Fudan university from Jan 1,2005 to Aug 31,2009.Results The 4 116 cases with accidental injuries were found to account for 4.35 ％ (4 116/94 579) of all inpatients during the same period.Ratio of male to female was 2.01∶ 1.The most common causes of injury were accidental falls (30.73％,1 265/4 116),traffic accidents (23.71％,976/4 116) and accidental drops (11.59％,477/4 116).Accidental falls were mainly seen in children over one year,traffic accidents mainly occurred in children aged four to seven,while the accidental drops were mainly seen in infants less than oneyear-old.The top three causes of accidental injury with highest mortality rate were airway foreign body,drowning and poisoning.Bone and joint injuries were mostly seen in accidental injury.Conclusion Accidental injury of children has been a serious threat to the lives of children and we should base on the characteristics of children to take preventive measures.