1152例住院死亡病例分析

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为了配合临床科研工作.加强对危害人群身体健康和生命的多发病的预防和治疗,我院统计病案室对1987~1992年共6年间住院死亡的病例进行了回顾调查,以死亡病案为原始资料,共搜集死亡病例1152例,现将资料的整理、汇总、分析报告如下:1 死因位次:前10位死因依次为循环系病、肿瘤、消化系病、损伤与中毒、呼吸系病、泌尿系病、内分泌与代谢病、传染病、皮肤结缔组织病、新生儿病.死亡100例以上的前4位死因分别占总死亡的47.1%、15.3%、9.2%和8.9%.我们又筛选了死亡30例以上的前10种疾病,居第1到4位的脑栓塞、脑出血、肺心病和冠心病均为循环系病.该系统疾病在近年的住院病人疾病分类报表中占住院总人数比重亦最大(10%以上),其病死率一般都较总出院病死率高2~3倍左右.我们认为,医院虽然只是观察社会人口健康状况的一个窗口,但就循环系病来讲,由于绝大多数患者均会就近到医院求治,且一般都能够承担住院费用,故与转院治疗人次较多的肿瘤等疾病相比,城市综合医院对循环系病的统计数据有相当的代表性.结合国内外有关杂志对循环系病居首位的报道,可以确认该系疾病在我地区也已成为危害人群身体健康和生命的首位病害.2 性别比例:1152例死亡病例中,男性690例,女性462例,性别之比为1.49:1,分别 In order to cooperate with the clinical scientific research, to strengthen the prevention and treatment of the common diseases that endanger the health of human beings and the life, our hospital’s statistical medical record room conducted a retrospective investigation on the cases of in-hospital death during a total of 6 years from 1987 to 1992. The death record was taken as the original data , A total of 1152 death cases were collected, the data are collated, summarized and analyzed as follows: 1 cause of death ranking: the top 10 cause of death were circulatory diseases, cancer, digestive diseases, injuries and poisoning, respiratory disease, urinary Department of Pathology, Endocrinology and Metabolic Diseases, Infectious Diseases, Cutaneous Connective Tissue Disease and Neonatal Diseases. The top four causes of death above 100 cases accounted for 47.1%, 15.3%, 9.2% and 8.9% of the total deaths respectively. The top 10 diseases with more than 30 deaths, the first through fourth place with cerebral embolism, cerebral hemorrhage, pulmonary heart disease and coronary heart disease are all circulatory diseases.The total number of hospitalized patients in the disease classification report of inpatients in recent years The proportion is also the largest (more than 10%), the mortality rate is generally 2 to 3 times higher than the total discharge rate of death in our hospital Although only a window to observe the health status of the community, but the circulation system is concerned, due to Absolutely Most patients will be nearest to the hospital for treatment, and are generally able to bear the cost of hospitalization, so compared with the transfer of patients with more tumors and other diseases, the city general hospital on the circulatory system statistics are quite representative.Combined with domestic and foreign The magazine’s first report on the department of circulatory diseases confirms that the disease has also become the first disease in our region that endangers the health and lives of the population.2 Gender ratio: Among the 1152 deaths, 690 were men and 462 were women , Sex ratio was 1.49: 1, respectively
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