目的分析2009年福建省医疗机构死亡病例监测资料,探索导致居民死亡的疾病及影响因素,了解死因构成,分析变化趋势,为制定政策与规划提供依据。方法利用2009年死亡病例网络直报经审核有根本死因编码的个案,作相关研究与因素分析。结果全省共报告死亡病例33 922例,男女比为1.68∶1,70岁以上占49.2%,家中死亡占56.0%。按3大类死因慢性病25 037例(73.8%)、伤害死亡5 125例(15.1%)、感染性与母婴疾病死亡1 884例(5.6%)、5.5%死因不明。居前3位的慢性病为心脑血管病(38.9%)、肿瘤(34.7%)、呼吸系病(12.2%);其中肿瘤依次为肝癌(20.1%)、气管和肺癌(20.0%%)、胃癌(14.8%);感染性病与母婴病为肺炎(45.8%)、围产期病(28.3%)、传染病(23.6%);伤害为交通事故死亡(43.8%)、跌倒(18.2%)、自杀(12.15%)。结论慢性非传染性疾病已成为医疗机构死亡病例的主要死因,损伤与中毒是危害青少年的主要危险因素。应加强慢性病防治,尽快把伤害纳入疾病防控规划。 Objective To analyze the monitoring data of death cases in medical institutions in Fujian Province in 2009, explore the diseases and their influencing factors leading to the death of residents, understand the cause of death, analyze the changing trend and provide the basis for formulating policies and plans. Methods Using the 2009 deaths case network direct reports of the existence of death cause code cases, for related research and factor analysis. Results A total of 33 922 deaths were reported in the province. The ratio of men to women was 1.68:1. 49.2% of them were over 70 years old and 56.0% of them died at home. According to the 3 major categories, 25 037 cases (73.8%) died of chronic diseases, 5 125 cases (15.1%) died of infectious diseases, and 1 884 (5.6%) died of maternal and infant infectious diseases. The cause of death was 5.5%. The top three chronic diseases were cardio-cerebrovascular diseases (38.9%), tumors (34.7%) and respiratory diseases (12.2%). The tumors in turn were liver cancer (20.1%), trachea and lung cancer (14.8%). Infectious diseases and maternal-infant diseases were pneumonia (45.8%), perinatal disease (28.3%) and infectious diseases (23.6%). Injuries were fatal (43.8%), falls Suicide (12.15%). Conclusion Chronic non-communicable diseases have become the leading cause of death in medical institutions. Injury and poisoning are the major risk factors for adolescents. Should strengthen the prevention and treatment of chronic diseases, as soon as possible to incorporate the disease prevention and control planning.