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目的分析云南某综合医院10年住院死亡病例疾病构成特点。方法按ICD-10疾病分类编码,通过病案管理信息系统统计2004年-2013年在某院住院的死亡病例基本信息,用Excel和SPSS16.0统计软件进行分析。结果前五位死因分别为循环系统疾病占26.34%,肿瘤占15.09%,损伤和中毒疾病占12.85%,呼吸系统疾病占12.39%和消化系统疾病占8.28%;不同民族、性别之间病死率有差异;死亡高发年龄段为70岁以上。结论应有效控制和预防前五位系统疾病:循环系统疾病、肿瘤、损伤和中毒疾病、呼吸系统疾病和消化系统疾病。加强70岁以上和5岁以下人群的疾病预防,建立建全医疗保障制度;降低病死率。
Objective To analyze the characteristics of disease in hospitalized death cases in a general hospital in Yunnan province for 10 years. Methods According to ICD-10 disease classification and coding, the basic information of death cases hospitalized in a hospital from 2004 to 2013 was calculated through the medical record management information system and analyzed by Excel and SPSS16.0 statistical software. Results The top five causes of death were circulatory system diseases accounted for 26.34%, tumors accounted for 15.09%, injuries and poisoning diseases accounted for 12.85%, respiratory diseases accounted for 12.39% and digestive diseases accounted for 8.28%; between different ethnic groups, gender mortality Differences; high incidence of death age of 70 years of age or more. Conclusions The top five systemic diseases should be effectively controlled and prevented: circulatory diseases, tumors, injuries and poisoning diseases, respiratory diseases and digestive diseases. Strengthen disease prevention among people over 70 years old and below 5 years old, establish a complete medical insurance system and reduce the case fatality rate.