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【目的】了解儿童专科医院儿童疾病死亡报告在“死因监测子系统”中的报告情况,为提高死亡监测系统的网络直报质量提供参考。【方法】对2007年1月1日—2009年12月31日本院死亡儿童进行登记、网络报告、查漏补报;弃婴另案登记上报至所在区疾病控制中心。【结果】三年中全院儿童因疾病死亡病例共计396例。其中网络报卡356例,网报率89.9%;弃婴死亡40例,占10.10%。356例儿童死亡根本原因分类前10位是新生儿疾病、呼吸系统疾病、先天畸形、神经系统疾病、恶性肿瘤、全身严重感染、意外、法定传染病、营养性疾病、血液系统疾病。新生儿期死亡106例,占婴儿(229例)死亡46.29%。【结论】提高死亡监测系统的网络直报质量,并建议在“死因监测子系统”中设立弃婴报告专栏。
【Objective】 To understand the report on the death of children’s disease in children’s specialist hospitals in the “Death Monitoring Subsystem” and provide references for improving the quality of direct online reporting of death monitoring system. 【Methods】 From January 1, 2007 to December 31, 2009, the deaths of children in our hospital were registered, reported online and leaked and reported. Abandoned infants were registered separately and reported to the disease control center in their area. 【Results】 A total of 396 cases of child deaths due to illness in the hospital in three years. Among them, 356 cases were reported by the network, with a rate of 89.9%; the deaths of abandoned babies were 40 cases, accounting for 10.10%. The top 10 causes of death in 356 children were neonatal diseases, respiratory diseases, congenital malformations, nervous system diseases, malignant tumors, serious systemic infections, accidents, statutory infectious diseases, nutritional diseases and blood system diseases. 106 cases of neonatal death, accounting for 46.29% of infants (229 cases) died. 【Conclusion】 The network quality of death monitoring system is improved and it is suggested to set up the column of abandoned baby in “Death Control Subsystem”.