2008-2012年某综合医院住院患者死因回顾分析  

Retrospective Analysis on Death Cause of Inpatients in a General Hospital,2008-2012

作　　者：文宗碧 林华 杨培娟[2] 

机构地区：[1]四川省南充市中心医院保健科,四川南充637000 [2]西华师范大学校医院防疫科

出　　处：《职业卫生与病伤》2014年第3期217-219,共3页Occupational Health and Damage

摘　　要：目的了解某综合医院2008-2012年住院患者死亡病例的具体情况及主要死因,为疾病的预防和临床救治工作及降低病死率提供参考依据。方法依据国际疾病分类标准(ICD-10),对2008-2012年南充市中心医院住院死亡3 221病例死因网络直报资料进行回顾性调查分析。结果住院患者病死率为1.67%,男、女病死率分别为2.30%、1.03%,男性病死率明显高于女性;死因以恶性肿瘤、心脏病、脑血管病和呼吸系统疾病为主,占总死亡病例的76.72%(2 471/3 221);损伤和中毒位居死因前5位。结论男性、恶性肿瘤、心脑血管疾病、呼吸系统疾病及损伤中毒患者为死亡高危人群,应重点加强这些高危人群的疾病防治工作,提高医疗质量和患者生存质量,降低病死率。Objective To investigate the status of death cases and causes of the inpatients in a general hospital during2008-2012,and thus to provide references for disease prevention and clinical treatment,as well as for decreasing the fatality rate.Methods According to International Classification of Diseases（ ICD-10）,the direct network reported 3 221death cases during 2008-2012 in Nanchong Central Hospital were retrospectively analyzed.Results The fatality rate of the patients was 1.67%（ 2.30% for male and 1.03% for female）.The fatality rate was statistically higher than that of female.The major causes of death were consecutively cancer,heart disease,cerebrovascular disease and respiratory diseases,accounting for 76.72%（ 2 471 /3 221） of deaths in total; injury and poisoning were among the top 5 causes of death.Conclusion The male sex,cancer,cerebrovascular disease,respiratory disease,injury and poisoning are the high risk population to death,and thus targeted prevention and treatment measures should be carried out to enhance the medical quality and the quality of life,as well as to lower the fatality rate.

关 键 词：住院患者 死亡病例 死因分析 

分 类 号：R197.323[医药卫生—卫生事业管理]