温州医科大学附属育英儿童医院2000-2011年住院儿童死亡原因分析  

Analysis on the causes of children death in the Yuying Children's Hospital Affiliated to Wenzhou Medical University from 2000 to 2011

作　　者：夏天和[1] 王珍全[1] 张园海[1] 谢作楷[2] 

机构地区：[1]温州医科大学附属育英儿童医院心内科,浙江温州325027 [2]温州医科大学附属育英儿童医院病案室,浙江温州325027

出　　处：《温州医学院学报》2014年第1期55-58,共4页Journal of Wenzhou Medical College

摘　　要：目的:了解温州医科大学附属育英儿童医院(以下简称育英儿童医院)住院儿童近12年死亡原因及死亡儿童的性别、年龄分布情况。方法:对2000-2011年儿童死亡病例进行回顾性分析,根据ICD-10国际疾病分类标准,采用SPSS 17.0进行统计学分析。结果:2000-2011年育英儿童医院住院儿童死亡病例共539例,男:女约为2.12:1,农村:城市约为1.72:1。在所有年龄段中,<1岁儿童死亡比例最高。各年龄段死亡原因不同,新生儿死因顺位前3位为:先天畸形、新生儿肺透明膜病、新生儿窒息;29 d^1岁死因顺位为先天性心脏病、肺炎、败血症;~3岁死因顺位为先天性心脏病、意外中毒损伤、传染病;~7岁死因顺位为意外损伤、先天性心脏病、败血症;~15岁死因顺位为恶性肿瘤、意外损伤、先天性心脏病。结论:加强围生期保健,重视家长健康宣教,强化安全意识,防治环境污染,预防感染可以大大减少儿童病死率。Objective： To understand the causes of death, distribution of hospitalized children sex and agefrom 2000 to 2011. Methods： A retrospective statistical analysis was performed in 539 death cases among hospitalized children from 2000 to 2011. The results were analysed on SPSS 17.0 software. Results： There were 539 cases of death among hospitalized children from 2000 to 2011, the ratio of boys/girls was 2.12：1, and the ratio of countryside/city was 1.72：1. The propotion of death cases under 1 year group was the most. The cause of death of all ages was different. The top three causes of neonates death were： congenital malformations, hyaline membrane disease and neonatal asphyxia. The top three causes of death in 29 d- 1 year group were： congenital heart disease, pneumonia and sepsis. In 1 -3 year group were： congenital heart disease, accidental poisoning injury and infectious diseases. In 4-7 year group were： accidental injury, congenital heart disease and sepsis. In 8-15 year group were： cancer, accidental injury and congenital heart disease. Conelution： The key to reduce child mortality is to strengthen perinatal care, health education of parents, and enhance safety awareness, prevention and control of environmental pollution, prevent infectious diseases to decrease the mortality.

关 键 词：儿童 住院 病死率 死亡原因 

分 类 号：R72[医药卫生—儿科]