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目的 了解城乡结合部儿童意外损伤的原因及危险因素。方法 对我院1998年4月～2000年12月意外损伤的96例儿童进行回顾性分析。结果 儿童意外损伤,城市前3位为动物致伤、中毒和跌落伤,分别为42.9％、21.4％和17.8％,农村为中毒,动物致伤和烫伤,分别为55.7％、8.6％和7.1％;中毒农村高于城市,动物致伤和跌落伤城市高于农村,2者比较差异有显著性(P<0.01);中毒城市乡均以一氧化碳为首位,其次,城市以药物,农村以有机磷和灭鼠药为主;3岁前儿童意外损伤以窒息和气管异物为主,3岁以上以动物致伤和跌落伤为主;意外损伤致死23例,占意外损伤儿童的23.5％(23/98),致死原因主要为车祸和溺水。结论 城乡结合部儿童重点预防中毒、动物致伤、跌落伤和烫伤,同时防止车祸和溺水导致儿童意外死亡。
Objective To understand the causes and risk factors of unintentional injuries in urban-rural areas. Methods A retrospective analysis was performed on 96 cases of unintentional injuries in our hospital from April 1998 to December 2000. Results The children were accidentally injured. The top three cities in the city were animal injuries, poisoning and falls injuries, accounting for 42.9%, 21.4% and 17.8% respectively. In rural areas, poisoning, animal injuries and scald were 55.7%, 8.6% and 7.1% ; Poisoned rural areas than cities, animal-injured and fall injured cities than in rural areas, the difference was significant (P <0.01); poisoned cities and townships all took carbon monoxide as the first place; secondly, cities took drugs and rural areas as organic phosphorus And rodent drugs were the main types of children. The unintentional injury to children aged 3 years old was mainly caused by asphyxia and tracheal foreign bodies, and the animals were injured and dropped more than 3 years old. Accidental injury was 23 fatal (23.5% 98). The main causes of death were automobile accidents and drowning. Conclusions Children in urban-rural areas focus on prevention of poisoning, animal injuries, falls and scalds, while preventing accidental death from car accidents and drowning.