儿童意外伤害5898例病例特征分析  

Characteristics of 5898 children unintentional injuries

作　　者：赖志君 曾沛斌 黎贺年 杨文海 马可泽 Lai Zhijun;Zeng Peibin;Li Henian;Yang Wenhai;Ma Keze(Department of Pediatric Intensive Care Unit,Dongguan Children's Hospital Affiliated to Guangdong Medical University,Dongguan,China)

机构地区：[1]广东医科大学附属东莞儿童医院儿童重症监护室

出　　处：《实用休克杂志(中英文)》2024年第5期268-272,共5页Journal of Practical Shock

基　　金：东莞市社会科技发展项目面上项目(项目编号:20211800900672)

摘　　要：目的分析东莞地区单中心儿童意外伤害病例特征,为预防儿童发生意外伤害提供参考。方法从本院医院信息系统(hospital information system,HIS)中收集2017年1月至2021年12月收治因意外伤害首次入院住院治疗的患儿的病例资料,使用描述性方法比较重症病例与普通病例间的病例特征。结果共纳入病例资料5898例,近5年儿童意外伤害呈逐年上升趋势。从致病因素看,跌落/坠落伤、交通事故伤害、撞击伤害、异物伤害及烧烫伤是意外伤害的主要原因,占比超过80%,且普通病例与重症病例致伤病因两者组成基本一致。从人群类别看,婴幼儿发生意外伤害概率最高,且男孩发生意外伤害事件较女孩高。结论家长照看婴幼儿和儿童时,应特别留意其在登高及攀爬时的安全性,及时做好防撞防跌等预防措施,避免意外伤害事故的发生。Objective To analyze the characteristics of pediatric unintentional injuries in a single center in Dongguan and provide reference for preventing unintentional injuries of children.Methods The case data of children admitted to hospital for the first time due to unintentional injuries from January 2017 to December 2021,which were collected from the hospital information system(HIS)of the hospital.Descriptive methods were used to compare the characteristics of severe cases with common cases.Results A total of 5,898 case records were included,and there has been an increasing trend of unintentional injuries in children in the past five years.From the perspective of pathogenic factors,falling injuries,traffic accident injuries,impact injuries,foreign body injuries,and burns/scalds were the main causes of unintentional injuries,accounting for more than 80%.The composition of the causative factors of both severe cases and common cases were basically consistent.From the population categories,infants had the highest probability of accidental injury,and boys had a higher incidence of unintentional injuries events than girls.Conclusions Parents should pay special attention to the safety of infants and children when taking care of them,and take preventive measures such as collision and falling promptly in time to avoid the occurrence of unintentional injuries.

关 键 词：儿童 意外伤害 病例特征 重症 

分 类 号：R179[医药卫生—妇幼卫生保健]