中国病案
中國病案
중국병안
CHINESE MEDICAL RECORD
2015年
4期
55-57
,共3页
儿童%住院%死亡原因%病死率
兒童%住院%死亡原因%病死率
인동%주원%사망원인%병사솔
Children%be in hospital%Cause of death%Mortality
目的：对住院死亡儿童年龄分布、入院后死亡时间、住院病死率及其变化趋势进行分析，为降低病死率提供依据。方法对2003年-2013年某医院住院694例死亡病例进行回顾性统计分析。结果住院儿童总住院病死率0.73%，新生儿组为29.0%，婴儿组为28.7%、幼儿组为22.6%；、学龄前儿童组为6.6%、学龄儿童组为13.1%。住院1天以内者死亡多，占死亡总数的55.9%；期间住院病死率比较差异有非常显著性（P＜0.01），总体呈下降趋势；主要死因疾病系统分类居前5位的是：起源于围产期疾病、传染与寄生虫病、呼吸系统疾病、损伤与中毒、先天性畸形，占死亡总数的77.5%；不同年龄组儿童死亡的主要原因不同。结论降低儿童住院病死率的关键是加强围生期保健、预防呼吸道感染、提高医务人员急诊抢救水平、减少中毒意外事件发生。应根据不同年龄组的特点，采取不同的疾病防治措施。
目的：對住院死亡兒童年齡分佈、入院後死亡時間、住院病死率及其變化趨勢進行分析，為降低病死率提供依據。方法對2003年-2013年某醫院住院694例死亡病例進行迴顧性統計分析。結果住院兒童總住院病死率0.73%，新生兒組為29.0%，嬰兒組為28.7%、幼兒組為22.6%；、學齡前兒童組為6.6%、學齡兒童組為13.1%。住院1天以內者死亡多，佔死亡總數的55.9%；期間住院病死率比較差異有非常顯著性（P＜0.01），總體呈下降趨勢；主要死因疾病繫統分類居前5位的是：起源于圍產期疾病、傳染與寄生蟲病、呼吸繫統疾病、損傷與中毒、先天性畸形，佔死亡總數的77.5%；不同年齡組兒童死亡的主要原因不同。結論降低兒童住院病死率的關鍵是加彊圍生期保健、預防呼吸道感染、提高醫務人員急診搶救水平、減少中毒意外事件髮生。應根據不同年齡組的特點，採取不同的疾病防治措施。
목적：대주원사망인동년령분포、입원후사망시간、주원병사솔급기변화추세진행분석，위강저병사솔제공의거。방법대2003년-2013년모의원주원694례사망병례진행회고성통계분석。결과주원인동총주원병사솔0.73%，신생인조위29.0%，영인조위28.7%、유인조위22.6%；、학령전인동조위6.6%、학령인동조위13.1%。주원1천이내자사망다，점사망총수적55.9%；기간주원병사솔비교차이유비상현저성（P＜0.01），총체정하강추세；주요사인질병계통분류거전5위적시：기원우위산기질병、전염여기생충병、호흡계통질병、손상여중독、선천성기형，점사망총수적77.5%；불동년령조인동사망적주요원인불동。결론강저인동주원병사솔적관건시가강위생기보건、예방호흡도감염、제고의무인원급진창구수평、감소중독의외사건발생。응근거불동년령조적특점，채취불동적질병방치조시。
Objective To analyze the age distribution, the time of death after admission, the mortality and trends of the death of children from 2003 to 2013. Methods A retrospectively analysis was performed upon 694 cases of deaths in the hospital from 2003 to 2013. Results The total mortality of the hospitalized children was 0.73%. The mortality of 0 to 28 days old group was 29.0%. The infant mortality was 28.7%. And the mortality of the early childhood group, the preschool children group and the school-age children group was 22.6%, 6.6% and 13.1% respectively. Most of them were dead within one day after admission, accounting for 55.9%. The mortality during these years significantly varied(P<0.01) and tended to decrease. The 5 main causes of death were prenatal diseases,infectious and parasitic diseases, respiratory diseases, injuries and poisoning and congenital malformations, accounting for 77.5%. The main cause of death varied in different age groups. Conclusion The key to reduce child mortality was to strengthen the prenatal care, prevent respiratory infections, improve the level of medical personnel in emergency rescue, and reduce the accidents of poisoning. We should take different disease control measures based on the characteristics of different age groups.
