8395例损伤中毒和外因住院病例分析  

Analysis on 8395 Medical Cases of Injury and Poisoning as External Reasons

作　　者：刘卫刚[1] 陆云[1] 袁长明[1] 潘秀君 王瑞平[1] 杨直堂[1] 赵景志 王娟[3] 

机构地区：[1]河北工程大学附属医院,邯郸市056002 [2]河南省军区直属医院,郑州市450003 [3]河北省人民医院,石家庄市050051

出　　处：《中国病案》2016年第9期59-62,共4页Chinese Medical Record

摘　　要：目的：探讨某院2014年-2015年收治主要诊断为损伤、中毒的住院患者的疾病分布特点，为邯郸地区损伤、中毒的防治工作和科研提供科学依据。方法按照《疾病和有关健康问题的国际统计分类》（简称：ICD-10）调取某院主要诊断编码范围为 S00～T97损伤、中毒住院患者全部病例进行分类和统计，采用 Excel 对数据进行处理。结果研究总计检索出8395份病案，该人群占同期总出院人数的14.03%，男女性别比例为1.80：1。按损伤、中毒发生部位分析，排在前5位的依次是头部损伤、下肢损伤、肩及上肢损伤，各类中毒、药物反应及过敏反应，腹部、会阴、背及臀部损伤，共占86.41%；按损伤、中毒发生的外部原因分析，排在前5位的依次是跌倒，交通事故，砸伤、压伤、玻璃伤和刀刺割伤、机器事故，体育运动中的拳击伤及敲击伤，有毒物质的意外中毒，占88.56%；从职业角度分析，农民损伤、中毒住院患者最多，达34.10%；按年龄分析，6岁以下儿童损伤住院患者最多，占26.49%。结论损伤、中毒住院患者男性多于女性，因农民和学龄前儿童人群最多，需引起重视。Objective To discuss the disease distribution characteristics of hospitalized patients with injury and poisoning based on the main diagnosis from 2014 to 2015,and provide a scientific basis for treatment and scientific research of injury and poisoning diseases in Handan region. Methods To conduct classification and statistical analysis on all the medical cases of injury and poisoning that selected from the patients with main diagnosis ranged from S00 to T97 according to the ICD-10,the software EXCEL was applied to process the data. Results Total 8395 copies of the medical records were retrieved,which accounted for 14.03% of the total number of discharged patients. The male and female ratio was 1.80：1. An analysis from site of injury and poisoning,the top five were head injury,lower extremity injury,Shoulder and upper limb injury,all kinds of poisoning drug reaction and allergic reactions,abdominal perineal back and hip injury in turn,total accounted for 86.41%. The top five external causes of injuries were fall down,traffic accident,parts,broken glass and the knife cut,machine accidents,boxing and percussion injury in sports,accidental poisoning of toxic substances,a total of 88.56%. From the perspective of professional,the farmer was the most,accounted for 34.10%. Hospitalized patients with injury and poisoning under the age of 6 were the most accounted for 26.49% by age. Conclusions The male hospitalized patients with injury and poisoning were more than female,which should be paid enough attention because of the top two groups were farmers and preschool children.

关 键 词：损伤 中毒 住院患者 病案管理 

分 类 号：R197.323[医药卫生—卫生事业管理]