摘要
目的分析上海某综合医院急诊儿童意外伤害发生的危险因素,探讨可行的防范措施。方法通过设计儿童意外伤害诊疗信息登记表,回顾性分析2012年1月至2016年12月本院儿科急诊救治的343例儿童意外伤害的危险因素及预后构成比。结果 2012—2016年5年间,就诊于本院急诊的343例意外伤害儿童中,男童201例,女童142例;年龄0~12岁,婴幼儿(0~3岁)组169例,学龄前(4~6岁)组87例,学龄期组(7~12岁)87例;非沪籍儿童313例,沪籍儿童30例。伤害类别中,中毒160例(46.65%),死亡率为0.62%;溺水67例(19.53%),死亡率为49.25%;交通伤61例(17.78%),死亡率为8.19%。结论非沪籍、男童、婴幼儿、中毒及溺水是本院急诊救治的儿童意外伤害中值得关注的危险因素,需要加强科普宣教和公共卫生管理以提高大众的防范意识。
Objective The dangerous factors of the children＇s unintentional injuries received by the ER of a general hospital were discussed. Method Retrospectively, the registration form for children＇s unintentional injuries was designed, and the information of the children occurred unintentional injuries during 2012.1—2016.12 received by our hospital pediatric department was analyzed, and its influencing factors and preventive measures were discussed. Result The 343 cases of children＇s unintentional injuries were received by the ER of the general hospital during 2012—2016, and 201 cases were boy and 142 cases were girl. Age between 0 to 12 years old, the infant（0-3 years old） group takes 169 cases, preschool group（4-6 years old）takes 87 cases, and school age group（7-12 years old）takes 87 cases among them. 313 cases are non-indigenous children and 30 cases are indigenous children. Regard to injury classification, poisoning takes 160 cases（46.65%）, death rate is 0.62%. Drowning takes 67 cases（19.53%） and death rate is 49.25%. Traffic accident takes 61 cases（17.78%） and death rate is 8.19%. Conclusion The dangerous factors of the children＇s unintentional injuries are non-indigenous, boys, infants, poisoning, and drowning, and should takes more attention. It is also necessary to strengthen the popularization of science education and public health management in order to raise public awareness.
作者
徐灵敏
黄争
乔玉兰
朱亚英
胡晓萍
项蔚
XU Ling-min;HUANG Zheng;QIAO Yu-lan;ZHU Ya-ying;HU Xiao-ping;XIANG Wei(Department of Pediatric,Qingpu Branch of the Affiliated Zhongshan Hospital of Fudan University,Shanghai 201700,China;Department of Medical Administration,Qingpu Branch of the Affiliated Zhongshan Hospital of Fudan University,Shanghai 201700,China)
出处
《中国医刊》
CAS
2018年第8期904-906,共3页
Chinese Journal of Medicine
基金
上海市科学技术委员会资助项目(16411972500)
上海市青浦区科委科学技术协会项目(QPKP14A-06)
关键词
儿童
意外伤害
危险因素
科普宣教
公共卫生
Children
Unintentional injuries
Dangerous factor
Popularization of science education
Public health management
