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目的 了解儿童意外损伤的发生情况 ,为儿童意外损伤的预防提供依据。 方法 对收住院的 2 960例意外损伤儿童的病案首页进行统计 ,分析不同年龄、性别和地区的损伤类别及原因构成。 结果 2 960例意外损伤住院儿童中 ,骨折 991例 (占 3 3 .5 % ) ,烧伤、烫伤 60 9例 (占2 0 .6% ) ,内脏及颅内损伤 5 3 6例 (占 18.1% ) ,开放性损伤 2 91例 (占 9.8% )。男女比例为 2 .2∶1。各类意外损伤年龄特点 :烧伤 烫伤多发生于 3岁以下儿童 (占 5 1.2 % ,3 12 60 9) ,0～ 1岁儿童是发病高峰年龄段 (占 3 3 .7% ,2 0 5 60 9) ;骨折多发生于 3岁以上儿童 (占 91.6% ,90 8 991) ,而以 6～ 14岁儿童为最多 (占 69.3 % ,687 991) ;交通伤多发年龄段为 6～ 14岁 (占 66.7% ,4 78 717) ;跌落伤多发年龄段为 6岁以上 (占 65 .1% ,5 76 885 ) ,年龄跨度最大。各类损伤住院总费用为 3 93 85 83 .4元 ,人均 13 3 0 .6元 ;总住院日为 5 0 778d ,人均 17.2d。 结论 各类损伤的发生在不同年龄、性别和地区间有着明显特点。可根据具体情况采取相应的防范措施 ,减少其发病率是完全可能的。
Objective To understand the occurrence of unintentional injuries in children and provide the basis for the prevention of unintentional injuries in children. Methods The first page of medical records of 2 960 children injured in accidental hospitalization were statistically analyzed, and the types of injury and the causes of injuries were analyzed according to age, gender and region. Results Among 2960 hospitalized children with accidental injuries, 991 cases (33.5%), 609 cases (20.6%) had burn and scalds, 536 cases (18.1%) had visceral and intracranial injuries, ), Open injury 2 91 cases (9.8%). Male to female ratio is 2.2: 1. Characteristics of various types of accidental injuries: Burn scalds occurred mostly in children under 3 years of age (5 1.2%, 3 12 60 9); children aged 0-1 years were the peak incidence age (33.7%, 20.05% 9); fractures occurred mostly in children over the age of 3 (91.6%, 90 8 991), while the majority of children aged 6 to 14 (69.3%, 687 991); multiple traffic injuries aged 6 to 14 years Accounting for 66.7%, 4 78 717). The multiple age groups with drop injuries were over 6 years old (65.1%, 5 76 885) with the largest age span. The total cost of various types of injury hospitalization was 3 93 85 83 .4 yuan, with a per capita amount of 13 3 0 .6 yuan. The total hospitalization day was 57 078 days, with a per capita average of 17.2 days. Conclusions The occurrence of various types of injuries occurs at different ages, with obvious characteristics of gender and region. According to the specific circumstances can take appropriate precautions to reduce the incidence is entirely possible.