论文部分内容阅读
目的:了解近10年来南川区人民医院住院患儿死亡疾病谱的分布,加强对重点患儿的关注,采取更有针对性的防治措施;降低儿童病死率。方法:对2002年1月1日至2011年12月31日10年间在南川区人民医院儿科住院的124例死亡病例进行回顾性分析。结果:住院患儿病死率为0.49%,其中1岁组(包含新生儿)114例,占91.94%。1岁组中新生儿81例,占该1岁组病例的71.05%;生后1 d内死亡60例,占死亡新生儿总数的74.07%;合并体温不升64例,占死亡新生儿总数的79.01%;因窒息死亡57例,占70.37%。结论:基层医院儿科,应加大对1岁以内危重患儿的关注,提高新生儿窒息抢救水平,加大生后第1天的监测力度,特别是对体温等基础生命体征的监测,能显著降低儿童的病死率。
OBJECTIVE: To understand the distribution of death disease spectrum of infants in Nanchuan District People’s Hospital in the past 10 years, to strengthen the focus on key children and to take more targeted prevention and treatment measures; to reduce the child mortality rate. Methods: A retrospective analysis of 124 deaths admitted to Nanchuan District People ’s Hospital during 10 years from January 1, 2002 to December 31, 2011 was performed. Results: The mortality rate of hospitalized children was 0.49%, of which 1 year old group (including newborns) 114 cases, accounting for 91.94%. 1 year old group of 81 newborns, accounting for 71.05% of the 1-year-old group; 60 cases within 1 d after birth, accounting for 74.07% of the total number of newborns; combined body temperature does not rise in 64 cases, accounting for the total number of newborns 79.01%; 57 died of asphyxia, accounting for 70.37%. Conclusion: The primary hospital pediatric department should pay more attention to the critically ill children within 1 year of age, improve the neonatal asphyxia rescue and increase the monitoring of the first day after birth, especially the monitoring of basic vital signs such as body temperature, which can be significantly reduced Children’s mortality.