重症医学科住院死亡病例分析

Analysis on the Hospitalized Death Cases in Intensive Care Unit

目的 分析重症医学科的住院死亡病例特征,为学科发展提供决策依据.方法 从性别分组、年龄分组和疾病构成等方面对某院2003年-2012年重症医学科的住院死亡病例进行统计分析.结果 男性重症患者病死率高于女性,年龄构成以60岁及以上年龄组为主,0岁～6岁年龄组病死率最高.循环系统疾病、肿瘤、呼吸系统疾病、消化系统疾病、传染病和寄生虫病构成住院死亡的主要疾病.结论 关注男性老年重症患者,重点针对循环系统疾病、肿瘤和呼吸系统疾病开展疾病防治工作,对于降低重症患者的病死率具有重要意义.

Objective To analyze the characteristics of hospitalized death cases in ICU so as to provide decision basis for the development of the discipline. Method The hospitalized death cases in ICU in a hospital from 2003 to 2012 were statistically analyzed from three aspects, such as gender, age and disease constitution. Result The mortality rate of severe patient in male was higher than in female cases, and the age composition was mainly above sixty years old, while children group from 0 to 6 years old got the highest mortality rate. The main diseases contributing to death included circulatory system diseases, neoplasms, respiratory system diseases, infectious and parasitic diseases and digestive system diseases. Conclusion To reduce the mortality rate of severe patient, it was of great importance to pay attention to males or elderly severe patient as well as pay more attention to three diseases such as circulatory system diseases, neoplasms and respiratory system diseases.