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目的 :调查妇科住院患者的死亡及猝死发生率 ,了解妇科猝死的基本情况。方法 :收集整理 2所综合医院 1 6年来妇科死亡病例 31例和猝死病例 7例 ,按 4个阶段年分别统计分析妇科的死亡及猝死的发生率、猝死与死亡之比 ,探讨妇科死亡及猝死的特点及变化 ,找出猝死病因和病种的构成比及顺位。结果 :1 6年来妇科住院患者的总死亡发生率和猝死发生率分别为 1 3 .1 3/万、2 .96/万。死亡的绝对数和发生率均呈下降趋势。猝死与死亡之比从 1 986～ 1 989阶段年的 7.69% (1 /1 3)上升到 1 998～2 0 0 1阶段年的 50 .0 0 %(2 /4) ,即死亡率的下降程度远远大于猝死率的下降程度。主要猝死原因为心脏性猝死和肿瘤 ;猝死病因及病种的顺位是 :心脏性猝死、肿瘤、异位妊娠等。结论 :妇科住院患者死亡的绝对数和发生率明显下降 ,但猝死的绝对数无下降趋势 ,而且发生率降低较慢 ,虽然治疗技术的进步和认识的提高 ,但猝死的预测及预防仍较困难。猝死的发生机制、病理生理变化等尚有待于深入研究
Objective: To investigate the incidence of death and sudden death in gynecological inpatients and to understand the basic situation of sudden death in gynecology. Methods: 31 cases of gynecological deaths and 7 cases of sudden death were collected and collected in two general hospitals in 16 years. According to the statistic analysis of the incidence of gynecological death and sudden death, the ratio of sudden death to death, gynecological death and sudden death The characteristics and changes, to find out the cause of death and the disease constitute the ratio and order. Results: The total incidence of death and sudden death in gynecological inpatients in the past 16 years were 13.13% and 29.6%, respectively. The absolute number of deaths and the incidence showed a downward trend. The ratio of sudden death to death increased from 7.69% (1/13) in the period from 1986 to 1989, to 50.0% (2/4) in the period from 1998 to 2001, ie, the mortality rate dropped The extent is far greater than the sudden death rate decline. The main cause of sudden death is sudden cardiac death and cancer; the cause of sudden death and the order of diseases are: sudden cardiac death, cancer, ectopic pregnancy. Conclusion: The absolute number and incidence of death in gynecological inpatients decreased significantly, but the absolute number of sudden death did not decline, and the incidence decreased slowly. Although the progress of treatment and cognition, the prediction and prevention of sudden death is still difficult . The mechanism of sudden death, pathophysiological changes have yet to be further studied