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对我科1977~1997年20年住院死亡病例疾病谱及死因分析,结果:(1)死亡病例疾病谱由感染、恶性肿瘤和外伤构成,其中感染占50.0%,恶性肿瘤占35.7%、外伤占14.3%;(2)疾病谱构成比呈动态变化:前10年中感染占60.0%、恶性肿瘤占20.0%、外伤占20.0%,而近10年中感染降至11.2%、恶性肿瘤上升至66.6%、外伤上升至22.2%;(3)死亡原因包括感染性休克(28.5%)、脓毒血症并肺脓疡致呼吸衰竭(7.1%)、肿瘤恶病质的全身性衰竭(21.4%)、全麻术后窒息(14.4%)、化疗致肾功能衰竭(7.1%)、外伤致脑水肿(14.4%)及全麻术后诱发心源性猝死(7.1%),其中属医源性致死高达28.5%。
Analysis of the disease spectrum and cause of death of inpatient deaths from 1977 to 1997 in our department. Results: (1) The death spectrum was composed of infection, malignant tumor and trauma, of which infection was 50.0% and malignant tumor was 35.7 %, Trauma accounted for 14.3%; (2) the spectrum of disease spectrum showed a dynamic change: the first 10 years of infection accounted for 60.0%, 20.0% of malignant tumors, trauma accounted for 20.0%, and nearly 10 years Infection fell to 11.2%, malignant tumors rose to 66.6%, trauma rose to 22.2%; (3) causes of death, including septic shock (28.5%), sepsis and lung abscess Respiratory failure (7.1%), systemic cachexia (21.4%), post-general anesthesia asphyxia (14.4%), chemotherapy-induced renal failure (7.1%), traumatic brain injury Edema (14.4%) and general anesthesia induced sudden cardiac death (7.1%), of which iatrogenic lethal up to 28.5%.