目的 探讨我院近5年来住院患者的死亡原因及其变化趋势。方法 收集我院1998-2002年住院病人死亡病案698份,对其病死率、死因构成、年龄构成等进行统计分析。结果 死因构成的前五位分别是:损伤和中毒、肿瘤、循环系统疾病、起源于围生产期的某些情况、呼吸系统疾病,占构成的75.5％,结论 加强死因顺位前5位疾病的防治工作,降低住院病死率,提高居民的健康水平和生命质量。 Objective To investigate the causes and trends of death in hospitalized patients in our hospital in recent 5 years. Methods A total of 698 inpatient deaths were collected from 1998 to 2002 in our hospital, and their mortality, cause of death and age were statistically analyzed. Results The top five causes of death were as follows: injuries and poisonings, tumors, circulatory diseases, some cases of perinatal problems, respiratory diseases, accounting for 75.5% of the total. Conclusions The top five causes of death Prevention and control work to reduce in-hospital mortality and improve residents’ health and quality of life.