摘要
目的：了解西宁地区小儿疾病和死亡的关系,为降低小儿死亡率提供依据。方法：对1994年1月—2009年12月我院各科所有（0-14）岁住院小儿死亡病例按国际疾病分类标准（1994年—2001年按ICD-9分类,2002年—2009年按ICD-10分类）进行归类分析。结果：2002年—2009年比1994年—2001年死亡人数明显下降,2=81.385,P〈0.01;男性小儿死亡人数明显高于女性,死亡年龄以新生儿和1个月-3岁小儿为主;主要死亡疾病：新生儿疾病、损伤和中毒、呼吸系统疾病、神经系统疾病、肿瘤;新生儿主要死亡疾病：早产儿、新生儿肺炎、新生儿窒息;死亡原因以呼吸衰竭、呼吸循环衰竭为主。结论：①降低新生儿期死亡率应防止早产,做好围生儿和高危新生儿的监护及抢救工作;②积极预防呼吸道感染,改善营养状况,加强婴幼儿健康体检是降低婴幼儿期死亡率的有效方法;③避免小儿损伤和中毒引起死亡应加强家庭看护及安全教育宣传;④对10岁以上儿童注意神经系统感染性疾病和恶性肿瘤应做到早期诊断早期治疗。
Objective：To understand how the sickness associated with death in children in Xinng,whereby decreasing the mortality of children.Methods：The cases of death in admitted children（0-14 year old） in our hospital between Jan.1994 and Oct.2009 were reviewed.The dead cases were classified on the basis of the International Classification of Diseases（ICD9,ICD10）.Results：We found that dead number of boy was greater than that of girl.The dead age was mostly in newborn and one month to 3 age＇s children.The newborn sickness,injury,poisoning,tumor,respiratory and neural system diseases were the main factors.Other than,premature infant,pneumonia,asphyxia,including respiratory and circulating failure,were mainly associated with death of newborn.Conclusions：Prevention of premature delivery,injury,poisoning and respiratory infection was a useful idea for decrease of mortality in children.Moreover,good family nurse and early diagnosis contribute to decrease the mortality.
出处
《高原医学杂志》
CAS
2010年第3期21-23,共3页
Journal of High Altitude Medicine
关键词
小儿
死亡病因
西宁地区
Children
Death
Sickness
Xining
Case analysis
