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我科于1985年1月1日至12月31日共收治住院病人5327例,其中危重病例568例,占同期儿科住院总数的10.7%,现作一简要分析。一、危重病例的临床特点:从性别与年龄来看,男393例,女175例。男女比为2.25:1;28天以内186例,～1岁252例,～3岁78冽,～7岁25例,～14岁27例,以3岁以内为多,共516例,占90.8%。主要原发病中,呼吸系统疾病202例(占35.6%),以各种肺炎多见;消化系统疾病91例(占15.0%),以重症肠炎多见;神经系统疾病85例(占16.0%),以颅内感染和颅内出血多见;败血症73例(占12.9%)。新生儿肺炎,败血症、颅内出血和硬肿症是新生儿危重病例的四大常见原发病。危重项目分布:“六衰”中以呼衰、心衰、脑水肿和循环衰竭多见;22个单项指标以新生儿硬肿症、新生儿高胆红质血症、酸中毒、血钾过低、血钙过低和DIC多见。
Our department in January 1, 1985 to December 31 admitted a total of 5327 inpatients, of which 568 critically ill cases, accounting for 10.7% of the total number of pediatric inpatients over the same period, is a brief analysis. First, the clinical features of critically ill patients: From the perspective of gender and age, 393 males and 175 females. The ratio of men to women was 2.25: 1; 186 cases were within 28 days, 252 cases were ~ 1 year old, 78 cases were ~ 3 years old, 25 cases were ~ 7 years old and 27 cases were ~ 14 years old. %. The main primary disease, 202 cases of respiratory diseases (35.6%), more common in a variety of pneumonia; 91 cases of digestive diseases (15.0%), with severe enteritis more common; 85 cases of neurological diseases (16.0% ), Intracranial infection and intracranial hemorrhage more common; 73 cases of sepsis (12.9%). Neonatal pneumonia, sepsis, intracranial hemorrhage and scleredema are the four most common primary diseases in critically ill newborns. Severe project distribution: “six bad” in respiratory failure, heart failure, cerebral edema and circulatory failure more common; 22 individual indicators of neonatal sclerema, neonatal hypercholesterolemia, acidosis, potassium Low, low serum calcium and DIC more common.