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[目的]了解伤害住院病例的构成及住院费用的分布情况,为制定伤害干预措施提供依据。[方法]收集某综合医院2008年1月～2009年12月因伤害住院的4903例患者的住院病案,对伤害发生情况进行回顾性调查。[结果]4903例病例中,伤害类型居前两位的是跌伤/坠落、交通事故;该两种伤害类型所耗住院费用和住院天数也最多。不同年龄伤害类型构成差异有统计学意义。伤害意图分析中,意外伤害4378例,自杀52例,加害473例,自杀以中毒居多,加害以刀/锐器伤居多。[结论]伤害给患者、家庭和社会造成巨大疾病负担,应及早针对不同伤害类型加以重点防治。
[Objective] To understand the composition of injury inpatients and the distribution of hospitalization expenses in order to provide the basis for making injury interventions. [Methods] The inpatient medical records of 4903 patients hospitalized for injuries in a general hospital from January 2008 to December 2009 were collected and retrospectively investigated. [Results] Of 4903 cases, the first two injuries were fall injuries / falls and traffic accidents. The two kinds of injury types also cost most hospitalization days and hospital stays. There were significant differences in the types of injuries at different ages. Injury intention analysis, accidental injury 4378 cases, 52 cases of suicide, add 473 cases of poisoning, most of the poisoning suicide, damage to the majority of knife / sharp injury. [Conclusion] Injury has caused huge disease burden to patients, families and society, and should be focused on different types of injuries as soon as possible.