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目的探讨降低精神病人住院死亡率及医疗纠纷的措施。方法对我科1998年至2007年共10年期间住院死亡的精神病人病案进行回顾性调查,内容包括死亡原因及相关因素。结果研究期间总住院7682人次,住院期间死亡12例,死亡率0.16%;死亡原因:自杀4例,躯体疾病死亡3例,中毒3例,猝死及多脏器衰竭各1例;死亡案例中,有6例发生医疗纠纷。结论自杀是我科住院精神病人死亡的主要原因,其次为躯体疾病致死、中毒死亡;对风险较大的患者,从各个环节采取相应措施,更有利于降低精神病人住院死亡率及医疗纠纷。
Objective To explore measures to reduce in-hospital mortality and medical disputes in mental patients. Methods A retrospective survey was conducted on the medical records of mental patients who died during hospitalization from 1998 to 2007 in our department, including the causes of death and related factors. Results During the study period, 7682 patients were hospitalized, 12 died during hospitalization, and the mortality rate was 0.16%. The causes of death were suicide, 4 cases of somatic disease, 3 cases of somatic disease, 3 cases of poisoning, 1 case of sudden death and multiple organ failure. Among the death cases, Six cases of medical disputes. Conclusion Suicide is the main cause of mental illness inpatient in our department, followed by somatosensory death and poisoning and death. For those patients at high risk, corresponding measures are taken from all aspects, which is more conducive to reducing in-hospital mortality and medical disputes in mental patients.