117例老年患者死亡病例分析  

Analysis for cause of death in 117 cases in elderly patients

作　　者：宋鹏[1] 代伟[2] 于启林[3] 

机构地区：[1]解放军总医院南楼外一科,北京100853 [2]解放军总医院信息办,北京100853 [3]解放军总医院外科临床部,北京100853

出　　处：《中华保健医学杂志》2015年第1期30-32,共3页Chinese Journal of Health Care and Medicine

基　　金：中央保健委员会专项课题(11BJZ08)

摘　　要：目的通过对老年患者死亡情况分析,为临床及时诊断、治疗和预防相关疾病提供依据。方法应用回顾性分析的方法,对解放军总医院≥60岁的死亡病例进行分析。结果 117例死亡患者中,合并有3种以上内科疾病者113例,占96.58%。其中心脏病患者96例,居首位,占82.05%。死因以肿瘤为最多,有50例,占死亡构成比的42.74%,而这其中又以肺癌所占比例最大,占肿瘤死亡患者的32%。死亡患者中,发生多器官功能衰竭者105例,占死亡总数的89.74%,以最先发生呼吸衰竭者最多,为72例,占所有器官衰竭患者的61.54%。使用呼吸机患者96例,使用率为82.05%。结论老年患者死因以肿瘤最多见,肺癌、肺部感染是诱发呼吸衰竭、导致死亡的主要因素。Objective To acquire related evidence for clinical timely diagnosis,treatment and prevention of diseases through the analysis of mortality in elderly patients. Methods We analysed the death of a hospital more than 60 years of cases with a retrospective analysis. Results Within the 117 cases of patients,113 cases were associated with three or more internal medical conditions, accounting for 96.58%. Among those internal medical conditions,96 cases of heart disease were in the first place,accounting for 82.05%. The cause of death in cancer was the most common with 50 cases,accounting for 42.74% of death proportions. The largest proportion of lung cancer accounted for 32% of cancer patients who died. Patients occurred with multiple organ failure were 105 cases, accounting for 89.74% of total deaths. The first occurrence of respiratory failure was the most patients,72 cases,accounting for 61.54% of all failing organs. 96 cases were used ventilator and the use rate was 82.05%. Conclusion Cancer is the most common cause for elderly patients with death. Respiratory failure is induced by lung cancer and lung infection,which are the main factors leading to death.

关 键 词：死因 死亡分析 老年 

分 类 号：R195[医药卫生—卫生统计学]