917例儿童死亡病例分析

发布时间：2018-08-24 19:01

【摘要】：目的分析2005-2014年该院儿科重症监护病房(PICU)病死患儿的临床特征,为提高PICU医疗质量及降低患儿病死率提供重要依据。方法收集2005年1月至2014年12月该院PICU 917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年该院PICU 917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(χ~2=26.29,P=0.00),但脓毒血症、手足口病呈上升趋势。结论先天性畸形是该院PICU患儿的第1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。
[Abstract]:Objective to analyze the clinical characteristics of (PICU) patients in pediatric intensive care unit from 2005 to 2014, and to provide important evidence for improving the medical quality of PICU and reducing the mortality of children. Methods the clinical data of 917 cases of PICU from January 2005 to December 2014 were collected. The age, length of stay, time of death, transfer to department and other distribution characteristics were analyzed, and the causes of death were analyzed. Results from 2005 to 2014, the leading causes of death in PICU 917 cases were congenital malformation, infectious diseases, respiratory diseases, injury and poisoning, digestive system diseases, tumors and symptoms. Signs and clinical and laboratory abnormalities that could not be classified elsewhere, circulatory diseases, neurological diseases, 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 was statistically significant (蠂 2, 26.29, P0. 00), but sepsis, hand, foot and mouth disease were on the rise. Conclusion congenital malformation is the first cause of death in children with 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 malformation.
【作者单位】：重庆医科大学附属儿童医院PICU科/儿童发育疾病研究教育部重点实验室/儿童发育重大疾病国家国际科技合作基地/儿科学重庆市重点实验室;
【分类号】：R720.597

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