我院1982～1997年儿科住院病人疾病谱及死亡原因分析

Disease classification and death causes of paediatric patients in an university affiliated hospital for 1982～1997.

目的 :为了解住院患儿的疾病谱及死亡原因的变化趋势。方法 :整理了 1982～ 1997年在我院 (包括儿科以外科室 )住院患儿的病历资料 ,共计 18784份。并对其病历进行了疾病分类及变化趋势、死亡原因及变化趋势的统计和分析。结果 :呼吸系统疾病占所有疾病分类的首位 ,病人最多并有逐年增加的趋势 ;肿瘤病人逐年增加其增长速度最快 ;传染病、血液系统疾病、先天性异常等疾病则呈逐年递减的趋势 ;新生儿疾病的病死率最高 ,人数最多占所有死亡疾病的首位。结论 :从 1982～ 1997年儿童疾病谱和死亡原因均发生了明显的变化 ,过去的少见病正成为现在和今后的常见病。本文通过总结分析16年住院儿童疾病分类及死亡原因 ,为今后更好地做好儿童疾病的医疗和预防保健工作提供科学的依据。

Objective:To investigate the disease spectrum and death causes of paediatric patients hospitalized in our hospital from 1982 to 1997.Methods:A dataset of 18?784 paediatric cases was constructed and analized.Results:Respiratopry disease ranks number one and is still growing in number with time;malignant tumor shows the rapidest increasing rate;infectious,hematological and congenital disease is decreasing in number each year;neonatal disease has the highest mortality rate and has always ranked number one in death causes.Conclusion:Both disease spectrum and death causes have undergone great changes for the past 16 years.