儿童恶性肿瘤病例急诊首发回顾性分析  

Retrospective analysis of emergency cases of children with malignant tumors

作　　者：杨敏[1] 许志建[2] 

机构地区：[1]福建医科大学附属漳州市医院儿科,福建漳州363000 [2]福建中医药大学附属漳州市中医院ICU,福建漳州363000

出　　处：《中国现代医生》2017年第16期45-47,53,共4页China Modern Doctor

摘　　要：目的探讨肿瘤患儿的发病及临床就诊规律,为提高肿瘤患儿的急诊早期诊断率及减少误诊率提供科学依据。方法收集2014年4月~2015年3月福建医科大学附属漳州市医院儿科急诊最后确诊恶性肿瘤的资料进行统计学分析。结果白血病、中枢神经系统恶性肿瘤分别居第一位、第二位。0~3岁组发病率为149.44/100万,4~7岁组发病率为121.43/100万,8~14岁组发病率为102.74/100万。结论转换儿科急诊的诊疗思路,重视相关儿童恶性肿瘤的重要辅助检查,能缩短恶性肿瘤诊断时间,提高儿童肿瘤的早期诊断率,改善儿童恶性肿瘤的临床预后。Objective To explore the pathogenesis and the visiting regularity of children with cancers, and to provide a scientific basis for improving the emergency early diagnosis rate of children with cancers and reducing the misdiagnosis rate. Methods The data of patients with final diagnosis of malignant tumors and emergency visits to the Department of Pediatrics from April 2014 to March 2015 were collected, and make a statistical analysis. Results Leukemia and central nervous system malignancies were ranked the first place and the second place. The incidence rate of 0-3 age group was149.44/million, the incidence rate of 4 to 7 years old group was 121.43/million, and the incidence rate of 8 to 14 years old group was 102.74/million. And the first clinical manifestations of all kinds of malignant tumors were analyzed.Conclusion Conversion of pediatric emergency diagnosis, treatment ideas and attention paid to malignant tumors-related important auxiliary examination, can shorten the diagnosis time of malignant tumors, improve the early diagnosis rate of children＇s cancer, and can improve the clinical prognosis and the 5-year survival rate of children with malignant tumors.

关 键 词：恶性肿瘤 急诊 早期诊断 白血病 

分 类 号：R730.5[医药卫生—肿瘤]