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目的分析儿童医院住院死亡儿童年龄分布、入院后死亡时间、死亡原因、病死率及其变化趋势。方法对温州医学院附属育英儿童医院1998—2005年住院83225例中284例死亡病例进行回顾性统计分析。结果1998—2005年住院儿童总病死率为0.34%;0～28d组病死率最高,为1.10%,占各年龄组死亡的46.83%;住院5d以下者死亡例数最多,占死亡总数的63.73%;8年间病死率比较差异有非常显著性(P<0.01),总体呈下降趋势;主要死因疾病系统分类居前5位的是:新生儿疾病、传染病、先天畸形、呼吸系统疾病、肿瘤;不同年龄组儿童死亡的主要原因不同。结论降低儿童病死率的关键是加强围生期保健、预防呼吸道感染、提高医务人员急诊抢救水平、减少中毒意外事件发生。应根据不同年龄组的特点,采取不同的疾病防治措施。
Objective To analyze the age distribution of children hospitalized in children’s hospital, the time of death after hospitalization, the cause of death, the case fatality rate and its changing trend. Methods A retrospective statistical analysis of 284 deaths among 83,225 hospitalized children at Yuying Children’s Hospital of Wenzhou Medical College from 1998 to 2005 was conducted. Results The total case fatality rate was 0.34% in hospitalized children from 1998 to 2005. The highest case fatality rate in 0 ~ 28 days was 1.10%, accounting for 46.83% of all age groups. The highest death rate was less than 5 days in hospitalized patients, accounting for 63.73% (P <0.01), the overall decline trend; the top five major causes of death disease system classification are: neonatal diseases, infectious diseases, congenital malformations, respiratory diseases, cancer; The main reasons for the death of children in different age groups are different. Conclusion The key to reduce the mortality of children is to strengthen the perinatal care, prevention of respiratory infections, improve the emergency rescue of medical staff and reduce the incidence of poisoning accidents. Should be based on the characteristics of different age groups, take different disease prevention and control measures.