论文部分内容阅读
本文对1971～1990年本院儿科208例肺炎死亡患儿进行回顾性调查,并对致死因素进行综合分析.调查结果报告如下。1.临床资料208例肺炎死亡患儿中,男142例,女66例,男:女为2.15:1.年龄分布是:～1个月80例;～6个月74例,～1岁21例;～2岁23例;3岁10例;其中6个月以内占74.04％.死亡患儿的家庭及生活环境为:居住农村、农民家庭75例;居住城市、工人家庭100例;居住城市、干部及知识分子家庭33例。本组有合并症和并发症者170例,其中先天畸形57例(先心病42例,其他畸形15例);营养不良53例;新生儿硬肿症29例;麻疹6例;结核3例;其他病症22例.本文并发2个以上器官功能衰竭(MOSF)183例.6例肺炎死亡患儿尸检,除肺脏有炎性细胞浸润外,其中肝脏局灶性坏死3例,脑损伤2例,另1例肺、心、肝、脑、肾均受损.
This article retrospectively investigated 208 children with pneumonia who died of pediatric pneumonia in our hospital from 1971 to 1990 and analyzed the lethal factor comprehensively.The results are reported as follows. Clinical data 208 children with pneumonia died of pneumonia, 142 males and 66 females, males and females was 2.15: 1. Age distribution: ~ 1 month in 80 cases; ~ 6 months in 74 cases, ~ 1 year old 21 23 cases aged 2 years and 10 cases aged 3 years, of which 74.04% were within 6 months.The family and living environment of the children with death were: living in rural areas and peasant families in 75 cases, living in cities and working families in 100 cases, living in cities 33 cadres and intellectual families. The group of complications and complications in 170 cases, of which 57 cases of congenital malformations (congenital heart disease in 42 cases, other malformations in 15 cases); malnutrition in 53 cases; neonatal sclerema in 29 cases; measles in 6 cases; tuberculosis in 3 cases; Other 22 cases.In this paper, more than two cases of organ failure (MOSF) 183 cases.Among the 6 autopsy in children with pneumonia, in addition to lung inflammatory cell infiltration, including liver focal necrosis in 3 cases, brain injury in 2 cases, Another case of lung, heart, liver, brain, kidney are damaged.