532例5岁以下住院儿童主要死因分析  

Analysis of Major Death Causes in 532 Cases of Hospitalized Children under 5 Years Old

作　　者：李欣影[1] 宋凤卿[1] 练巧玲[1] 沈维高[2] 

机构地区：[1]惠州市中心人民医院,广东惠州516001 [2]北华大学基础医学院,吉林吉林132013

出　　处：《北华大学学报（自然科学版）》2008年第4期350-352,共3页Journal of Beihua University（Natural Science）

摘　　要：目的 了解5岁以下住院儿童死亡情况及主要死因，为制定有效的干预措施、降低儿童的死亡率提供依据．方法 选择2005年～2007年在惠州市中心人民医院住院死亡的532例5岁以下住院儿童作为研究对象，对其相关资料进行回顾性分析．结果 住院儿童死亡率最高的年龄阶段是婴儿期，占住院儿童死亡总人数的82．52％。其中新生儿期占59．21％．各年龄段死亡疾病顺位分别是新生儿期：窒息、吸入性肺炎、新生儿呼吸窘迫综合征、先天畸形；29d～1岁：肺炎、先天畸形、腹泻、急性传染病；1—4岁：急性传染病、意外伤害、先天畸形、肺炎．结论 婴儿期是5岁以下儿童死亡率最高的年龄段，是监测的重点对象，应加强对围产期及婴儿期的保健和疾病预防工作．Objective To understand the death status and the major death causes of 532 cases of hospitalized children under 5 years old so as to provide a basis for effective intervention measures and decrease children mortality. Methods Retrospective investigation of 532 hospitalized children death cases under 5 years old during 2005 -2007 in our hospital. Results The highest mortality rate in all age stages was infancy, which accounted for 82.52%, among of them 59.21% was neonate. The first four rank orders of diseases of death in all ages were following respectively： asphyxia, aspiration pneumonia, neonatal respiratory distress syndrome （ NRDS）, congenital malformation in neonate ; pneumonia, congenital malformation, diarrhea, acute infectious disease from 29 days to 1 year old infants; acute infectious disease, unintentional injury, congenital malformation, pneumonia in 1 -4 years old children. Conclusion Infant period is the highest mortality rate under 5 years old children. Monitoring emphasis should be put on them. And health care and disease prevention should be enhanced in perinatal and infant period.

关 键 词：住院儿童 死亡原因 死亡率 

分 类 号：R725.9[医药卫生—儿科]