2009年大连市0～14岁儿童伤害病例资料分析

Analysis on Data of Children Injury Cases in the Surveillance Hospitals of Dalian City in 2009

目的了解大连市0～14岁儿童伤害发生情况,为制定干预措施提供科学依据。方法对2009年大连市3所3级甲等医院就诊后诊断为伤害的全部首诊病例资料进行分析。结果 2009年3所医院合计报告0～14岁儿童伤害病例1 186例,其中男童826例,女童360例,男女性别比为2.29:1;伤害原因主要是跌倒/坠落(占43.59%)、钝器伤(占19.90%)、刀/锐器伤、(占12.06%)、机动车车祸(占9.70%)和动物伤(占8.52%);伤害发生地点主要是学校与公共场所(占27.49%)、家中(占24.20%)、公路/街道(占22.18%)、体育和运动场所(占2.87%)、贸易和服务场所(占1.60%);伤害发生时活动主要是休闲活动(占55.82%)、体育活动(占14.25%)、驾乘交通工具(占3.88%)、家务/学习(占3.54%)、其他活动(占2.61%);伤害性质主要是挫伤、擦伤(占42.16%)、锐器伤、咬伤、开放伤(占33.98%)、扭伤/拉伤(占9.61%)、骨折(占8.78%)、脑震荡、脑挫裂伤(占3.04%);伤害部位主要是上肢(占32.88%)、头部(占29.26%)、下肢(占28.50%)、躯干(占4.38%)、多部位(占2.70%);属于非故意伤害的占91.40%,属于故意伤害的占8.01%,属于自残/自杀的占0.17%。轻度、中度和重度伤害分别占84.65%,1 4.50%,0.84%。治疗后回家的占89.04%,观察/住院/转院的占10.29%,死亡的占0.17%。结论 0～14岁儿童伤害主要以跌倒/坠落和钝器伤为主,应该采取多部门合作的方式,强化针对性的防范措施。

Objective To understand the conditions of injury among the children aged 0～14 in Dalian city,provide a scientific basis for intervention measures.Methods Data of first visit injury patients in 3 top hospitals in 2009 in Dalian were analyzed.Results 1186 cases of children injuries were reported in 2009 in 3 hospitals.The ratio of boys to girls was 2.29:1.The leading injury cases were accidental tumbles/falls(43.59%),hit by blunt objects (19.90%),hit by knife/sharp objects(12.06%),motor vehicle traffic accidents(9.70%) and animal injury(8.52%).The injury location were in school and public places(27.49%),at home(24.20%),on the road(22.18%),in sports and sports facilities(2.87%),in trade and service establishment(1.60%).Injury events were leisure activities(55.82%),in sports(14.25%),on transportation(3.88%),on study(3.54%) and others(2.61%).The nature of injury were contusion(42.16%), stab and open wound(33.98%),sprain(9.61%),fracture(8.78%).The major injured body parts were arm(32.88%),head(29.26%),lower limb(28.50%), trunk(4.38%) and more sites hurts(2.70%).91.40%of the injuries belonged to unintentional injuries.8.01%of the injuries belonged to intentional injury, suicide0.17%.Minor,moderate and serious injuries accounted for 84.65%,14.50%,and 0.84%.89.04%were cured and went home;observation/ hospitalization/referral accounted for 10.29%,only 0.17%died.Conclusion Most of the children injury were caused by accidental tumbles/falls and hit by blunt objects,therefore multi-departments cooperation and pertinent preventive measures should be taken.