重症监护病房917例死亡病例分析

发布时间：2018-03-18 15:32

本文选题：儿童重症监护病房　切入点：死亡原因　出处：《重庆医科大学》2017年硕士论文　论文类型：学位论文

【摘要】：目的分析2005-2014年重庆医科大学附属儿童医院儿童重症监护病房(PICU)死亡儿童的临床特征,为提高PICU医疗质量及降低儿童病死率提供重要依据。方法收集2005年1月至2014年12月重庆医科大学附属儿童医院PICU917例死亡病例的临床资料,分析其年龄、住院时间、死亡时间、转入科室等分布特征,并进行死因分析。结果2005-2014年本院PICU917例死亡病例主要死亡原因前10位依次为先天性畸形、传染病、呼吸系统疾病、损伤与中毒、消化系统疾病、肿瘤、症状、体征和临床与实验室异常所见不可归类在他处者、循环系统疾病、神经系统疾病、血液系统疾病。2010-2014年感染性疾病的构成比较2005-2009年降低,非感染性疾病构成比升高,差异有统计学意义(?2=26.29,P(27)0.001),但脓毒血症、手足口病呈上升趋势。结论先天性畸形是本院PICU的第一位死亡原因,降低儿童病死率的关键是减少先天性畸形患儿的出生。随着时间变化,本院PICU的死亡原因发生了变化。
[Abstract]:Objective to analyze the clinical characteristics of children who died in the Children's intensive Care Unit (ICU) of Children's Hospital affiliated to Chongqing Medical University from 2005 to 2014. Methods from January 2005 to December 2014, the clinical data of PICU917 cases in Chongqing Medical University affiliated Children's Hospital were collected, and their age, hospitalization time and death time were analyzed. Results from 2005 to 2014, the main causes of death of PICU917 cases were congenital malformation, infectious disease, respiratory system disease, injury and poisoning, digestive system disease, tumor. Symptoms, signs and clinical and laboratory abnormalities that cannot be classified elsewhere, diseases of the circulatory system, nervous system diseases, and hematological diseases. The composition of infectious diseases in 2010-2014 was lower than that in 2005-2009, and the proportion of non-infectious diseases increased. The difference is statistically significant. Conclusion congenital malformation is the first cause of death in PICU in our hospital. The key to reduce the mortality of children with congenital malformation is to reduce the birth rate of children with congenital deformities. The causes of death in our hospital's PICU have changed.
【学位授予单位】：重庆医科大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R720.597

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