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目的分析武汉市儿童医院12年间住院死亡儿童年龄分布、入院后死亡时间、死亡原因、住院病死率及其变化趋势。方法对武汉市儿童医院2003-2014年间住院儿童中1 179例死亡病例进行回顾性统计分析。结果 2003-2014年间住院儿童总病死率为0.19%,前10年各年度病死率无显著变化,从2013年开始病死率有下降趋势;死亡儿童中以新生儿居多,占39.02%,其次为1岁以内婴儿,占31.98%;死亡时间大部份为入院后9d内;死亡原因按系统分类前五位是新生儿疾病、呼吸系统疾病、先天畸形、神经系统疾病及消化系统疾病;主要死因疾病单病种前五位是肺炎、先天性心脏病、中枢神经系统感染、脓毒症和新生儿感染性肺炎。结论降低住院儿童病死率重点是提高新生儿疾病、感染性疾病和先天畸形的诊治水平。
Objective To analyze the age distribution of hospitalized children in Wuhan Children’s Hospital for 12 years, the time of death, the cause of death, the in-hospital mortality rate and their changing trend after admission. Methods A retrospective statistical analysis of 1 179 deaths among hospitalized children in Wuhan Children’s Hospital from 2003 to 2014 was conducted. Results The total case fatality rate of hospitalized children was 0.19% between 2003 and 2014. The case fatality rate showed no significant change in each of the first 10 years. The case fatality rate decreased from 2013 onwards. Most neonatal deaths were children, accounting for 39.02%, followed by 1 Most of the deaths were within 9 days after admission. The top five causes of death were neonatal diseases, respiratory diseases, congenital malformations, neurological diseases and digestive diseases. The main cause of death diseases The top five single disease are pneumonia, congenital heart disease, central nervous system infection, sepsis and neonatal pneumonia. Conclusions The key to reducing mortality in hospitalized children is to improve the diagnosis and treatment of neonatal diseases, infectious diseases and congenital malformations.