650例住院死亡患儿病例统计分析  

Statistical Analysis on 650 Cases of Hospitalized Death Children Cases

作　　者：吴金莉[1] Wu Jinli(Children＇s Hospital of Soochow University, Suzhou 215000, Chin)

机构地区：[1]苏州大学附属儿童医院,苏州市215000

出　　处：《中国病案》2018年第3期49-51,共3页Chinese Medical Record

摘　　要：目的总结分析某院住院死亡患儿的主要死亡特点及相关变化,为降低病死率提供科学依据。方法按照ICD-10标准分类,对2005年-2016年650例死亡患儿进行年龄分组、人数的动态变化及死亡原因疾病顺位分析,采用SPSS17.0进行统计学分析。结果在所有死亡患儿年龄段中,新生儿及婴儿所占比例最高,各年龄段死亡原因不同,新生儿和婴儿以呼吸道感染性疾病为主要死因,其次为先天畸形异常。2岁～3岁、4岁～7岁以损伤和中毒为主要死因,8岁～17岁患儿的第1位死因是肿瘤。结论为降低新生儿及婴儿死亡率,应加强孕期围产保健,避免接触有毒有害物质,优生优育;加强对感染性疾病的控制工作。加强儿童保护意识,积极防治意外伤害,可有效降低学龄前及学龄期儿童死亡率。Objectives To summarize and analyze the main characteristics and related changes of hospitalized children died from 2005 in 2016. To provide scientific basis for improving the quality of medical treatment and reducing the fatality rate. Methods According to the classification of ICD-10 standard, the age groups, the dynamic changes of the number and the causes of death and the sequence of diseases were analyzed in 650 cases of the dead children. Statistical analysis by using SPSS17.0. Results The proportion of newborns and infants was the highest among all the death children. The causes of death were different in all ages. Respiratory infection was the main cause of death in neonates and infants, followed by congenital malformations. Injury and poisoning were the main causes of death at the age of 2～3 and 4～7, and the first cause of death was the tumor at the age of 8～17.Conclusions In order to reduce neonatal and infant mortality, should strengthen perinatal health care during pregnancy, avoid contact with toxic and harmful substances, eugenics; strengthen the control of infectious diseases.Strengthening the awareness of child protection and active prevention and treatment of accidental injury can effectively reduce the mortality of children in preschool and school age. In addition, medical institutions should strengthen the construction of children＇s health care department, early detection, early diagnosis and early treatment of diseases. The government has made great efforts to strengthen environmental governance, prevent environmental pollution and reduce the occurrence of malignant tumors.

关 键 词：住院患儿 年龄分组 死因顺位 分析 

分 类 号：R197.5[医药卫生—卫生事业管理]