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[目的]了解上海市2008年在家死亡者的年龄、疾病分布,为社区卫生服务提供信息。[方法]2008年上海市在家死亡个案卡,采用ICD-10疾病分类标准,进行综合统计分析。[结果]在家死亡女性死亡率略高于男性,男性首位死因为支气管和肺的恶性肿瘤,女性首位死因为脑血管病后遗症。各年龄组都有在家死亡的发生,0～14岁组以先天性疾病为主,15～39岁组以损伤中毒为主,40～64岁组以肿瘤为主,65岁及以上年龄以脑血管病后遗症为主。[结论]65岁以上人群、损伤中毒的危害已成为在家死亡不容忽视的公共卫生问题。
[Objective] To understand the age and disease distribution of those who died at home in Shanghai in 2008, to provide information for community health services. [Method] Card death at home in 2008 in Shanghai, using ICD-10 disease classification criteria, a comprehensive statistical analysis. [Results] The mortality rate of female death at home was slightly higher than that of male. The first male death was due to bronchial and pulmonary malignancies. The leading cause of death in women was cerebrovascular sequelae. All age groups have at-home deaths, 0 to 14-year-old group mainly congenital diseases, 15 to 39-year-old group mainly to injury, 40 to 64-year-old group with tumor-based, 65 years of age and above brain Sequelae of vascular disease mainly. [Conclusion] The harm of poisoning to people over 65 years old has become a public health problem that can not be neglected at home.