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目的:分析高海拔地区我院住院患儿死亡的特点,为降低小儿死亡率采取有效的防范和抢救措施提供依据。方法:对2011年1月—2015年12月我院儿童重症监护室(PICU)260例住院死亡病例进行回顾性分析。结果:造成小儿死亡的主要疾病依次是循环系统疾病、呼吸系统疾病、神经系统疾病、消化系统疾病、感染性疾病、意外损伤和中毒;死亡年龄以1岁以下为主137例,占死亡患者总数的52.69%。结论:降低小儿病死率的关键在于预防感染、加强围产期保健、加强家庭看护及安全教育宣传,减少意外事件发生、加强全省儿科建设和提高儿科医务人员技术水平。
Objective: To analyze the characteristics of death in hospitalized children in our hospital in high altitude area and provide evidences for effective prevention and rescue measures to reduce child mortality rate. Methods: A retrospective analysis of 260 hospitalized deaths in pediatric intensive care unit (PICU) in our hospital from January 2011 to December 2015 was conducted. Results: The main diseases causing death in children were circulatory system diseases, respiratory system diseases, nervous system diseases, digestive system diseases, infectious diseases, accidental injuries and poisoning. The age of death was mainly under 1 year old, accounting for the total number of deaths Of 52.69%. Conclusion: The key to reducing child mortality is to prevent infection, strengthen perinatal care, strengthen family care and safety education, reduce accidents, strengthen pediatric construction in the province and improve the technical level of pediatric medical workers.