2001~2010年四川省成都市儿童医院149例住院患儿死因分析

2001-2010 149 cases of death of hospitalized children in the Children's Hospital of Chengdu,Sichuan

目的了解近10年笔者所在医院住院患儿死亡主要致死疾病,为儿童医疗保健提供一定的客观依据。方法对笔者所在医院2001~2010年149例住院死亡儿童的病历资料按ICD-9（国际疾病分类）的规定进行死因分类,统计不同年龄段死亡儿童的病因。结果 149例死亡病例中新生儿占38·93%,1月~7岁儿童占49·66%,7~15岁儿童占11·41%;不同年龄段儿童死因有所不同,新生儿以重症感染、围产期因素为主要死亡原因（74·14%）,婴儿组以重症感染（重症肺炎、败血症）为主,占62·50%。1~15岁年龄组前三位死因分别是恶性肿瘤、颅内感染、重症肺炎。结论 积极控制感染性疾病、加强围产期孕妇保健管理、重视婚前检查,进一步增加对农村及基层卫生工作的投入等,仍然是降低住院患儿病死率的关键。

Objective By analyzing the causes of clinical death in the past 10 years in our hospital in order to provide some objective basis for health care of children.Methods 149 cases of hospital medical records were statistically analyzed by ICD-9 （International Classification of Diseases） classification of the provisions of the cause of death.Results In these 149 cases ,the neonatal accounted for 38.93%,the children aged 1 month-7 years accounted for 49.66%,the children aged 7 to 15 accounted for 11.41%;the cause of death of different ages are different.In neonatal group,severe infections and perinatal factors are the main causes of death （74.14%）,in infant group, the main cause of death is severe infections （severe pneumonia, sepsis）,accounting for 62.50%.In the group of 1 to 15 years old,the top three causes of death are malignant tumors,intracranial infections,severe pneumonia.Conclusion The active control of infectious diseases,strengthen the management of perinatal maternal health,attention to pre-marital check,and further increase the health of rural and grass-roots input,etc,is still the key to reducing mortality in children hospitalized.