2007年-2016年某市儿童医院住院儿童死亡病例分析  

Analysis of Hospitalized Children Death Cases in a Children's Hospital from 2007 to 2016

作　　者：张婷婷[1] 王继宁[1] Zhang Tingting;Wang Jining(Children＇s Hospital affiliated to Nanjing Medical University, Nanjing 210008, Jiangsu Province, China)

机构地区：[1]南京医科大学附属儿童医院,南京市210008

出　　处：《中国病案》2018年第4期57-60,共4页Chinese Medical Record

摘　　要：目的分析某市儿童医院2007年-2016年住院死亡儿童年龄分布,入院后死亡时间、死亡原因、住院病死率及其变化趋势。方法对某市儿童医院10年间住院儿童中787例死亡病例进行回顾性统计分析。结果 10年间住院儿童总病死率为0.15%,各年度死亡率存在统计学差异(χ2=32.0,P<0.01),死亡率呈下降趋势。死亡儿童中以一岁婴儿居多,占42.3%,其次为新生儿,占38.2%;死亡患者多为住院24小时以内;死亡原因按系统分类前五位是先天性畸形、起源于围产期疾病、呼吸系统疾病、传染与寄生虫病、肿瘤,占死亡总数的82.3%。结论降低住院儿童病死率重点是提高先天畸形、新生儿疾病和感染性疾病的诊治水平。Objective To analyze the age distribution, death time, cause of death, mortality of hospitalized children during ten years, and try to point out the variation trend. Methods A retrospective statistical analysis was used on 787 hospitalized children death cases from 2007 to 2016 in children＇s hospital. Results The total mortality among hospitalized children was 787 from 2007 to 2016. In previous 10 years, the alteration of mortality rate in each year had significance（χ^2=32.0,P〈0.01）; the trend of mortality rate was decreased. The majority death age of hospitalized children death case was one year old infants, accounted for 42.3 percents. The second was neonatal, accounted for 38.2 percents, and most of the time of death time was within 24 hours after admission. In accordance with the system to classification, the top five causes of death were congenital malformations, neonatal disease, respiratory disease, infectious and parasitic disease and tumor, respectively.Conclusions The focal point of reducing hospitalized children death is improving, the level of diagnosis and treatment of dangerous diseases, such as congenital malformation, neonatal disease and infectious diseases

关 键 词：住院儿童 死亡 分析 

分 类 号：R197.5[医药卫生—卫生事业管理]