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目的了解温州医科大学附属育英儿童医院重症医学科(ICU)意外伤害住院患儿的流行病学特征。方法对2005年1月—2014年12月1 282例0~14岁因意外伤害收住ICU患儿的病案进行回顾性分析。结果1 282例意外伤害患儿占同期该科室住院病例27.86%,男性多于女性,男女性别比为1.85∶1,伤害病例以1~3岁年龄组为主(39.63%);意外伤害主要发生时间14:00~19:00,下午4点钟是儿童意外事故发生的高峰时间,7~9月份为高发季节;好发地点依次为户外公共场所(53.74%)、家中(45.55%)和学校(0.7%),不同年龄组意外伤害发生地点不同;父母职业依次均为务工(主要指从事体力劳动)、私营业主、专业技术和行政管理;发生的主要原因依次是交通伤(37.13%)、坠落伤(28.94%)、中毒(9.20%)、溺水(7.64%)和摔伤跌伤(7.02%),不同年龄组意外伤害发生类型不同。该组病例治愈占35.80%,好转占50.08%,未愈占11.08%,死亡占3.04%。对比前后5年2组在住院人次、伤害发生类型、未愈和死亡、住院费用等分布差异较大。结论收住ICU意外伤害患儿,伤害的发生与性别、时间点、季节和父母职业有关,且不同年龄组意外伤害发生地点、发生类型不同。
Objective To understand the epidemiological characteristics of children hospitalized with accidental injuries in the Department of Critical Care Medicine (ICU) at Yuyin Children’s Hospital, Wenzhou Medical University. Methods A retrospective analysis of 1 282 cases of children aged 0-14 years admitted to ICU from January 2005 to December 2014 due to accidental injuries was performed. Results 1 282 cases of accidental injury accounted for 27.86% of hospitalized cases in this department during the same period, with more males than females, with a male / female ratio of 1.85:1. Injuries were mainly occurred in patients aged 1-3 years (39.63%). Accidental injuries mainly occurred The time between 14:00 and 19:00 and 4:00 PM are the peak time of children’s accidents and the high season occurred from July to September. The good places were outdoor public places (53.74%), home (45.55%) and schools (0.7%). The accidental injuries occurred in different age groups at different locations. Parents occupations were mainly migrant workers (mainly engaged in manual labor), private owners, professional technical and administrative management. The main causes were traffic injuries (37.13%), Fall injuries (28.94%), poisoning (9.20%), drowning (7.64%) and fall injuries (7.02%) caused different types of accidental injuries among different age groups. The cure rate in this group was 35.80%, improvement was 50.08%, non-healing 11.08% and death rate 3.04%. Compared with before and after 5 years in 2 groups in-hospital attendance, the type of injury, unhealed and death, hospitalization costs and other distribution differences. Conclusion The accidental injury of ICU patients admitted to hospital, the occurrence of injuries and gender, time, seasonal and parental related, and different age groups accidental injury occurred, the occurrence of different types.