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目的分析西藏自治区人民医院2014~2015年住院患者的死亡情况,为研究用药合理性提供基线数据。方法提取医院信息管理系统2014~2015年出院患者死亡病历资料,采用国际编码ICD-10标化疾病分类,分析住院患者一般情况、死亡原因、单病种分布情况,采用EXCEL 2007软件计算频数、构成比和累计构成比。结果 (1)两年出院患者共40 147例,死亡患者339例,占住院患者数的8.44‰,死亡患者男女比为2.08∶1。(2)死亡构成比>10%的有4类:循环系统疾病、损伤中毒外因引起疾病、呼吸系统疾病和消化系统疾病。(3)死亡构成比5%~10%的疾病有3类:肿瘤、症状体征和临床与实验室异常所见,不可归类在他处者、泌尿生殖系统疾病。(4)死亡的主要单病种有:脑出血、心肌梗死、呼吸衰竭、损伤、肺炎、肿瘤、新生儿缺血缺氧脑病等。结论西藏自治区人民医院死亡病例主要集中在25~59岁年龄段,循环系统疾病是主要死因。
Objective To analyze the deaths of inpatients in People’s Hospital of Tibet Autonomous Region from 2014 to 2015 and provide baseline data for studying the rationality of medication. Methods The death records of discharged patients from 2014 to 2015 in hospital information management system were extracted. The ICD-10 was used to analyze the general conditions of inpatients, the causes of death and the distribution of single disease. The frequency was calculated by software EXCEL 2007, Ratio and cumulative composition ratio. Results (1) A total of 40,147 discharged patients in two years and 339 deaths, accounting for 8.44% of the total number of inpatients, and the ratio of male to female patients was 2.08:1. (2) There are 4 categories with> 10% mortality ratio: circulatory system diseases, injury and poisoning cause diseases, respiratory diseases and digestive diseases. (3) There are 3 types of diseases which constitute 5% -10% of the deaths: tumors, signs and symptoms and clinical and laboratory abnormalities, which can not be classified in other places and genitourinary diseases. (4) The main single diseases of death are: cerebral hemorrhage, myocardial infarction, respiratory failure, injury, pneumonia, tumor, neonatal hypoxic-ischemic encephalopathy. Conclusion The deaths of People’s Hospital of Tibet Autonomous Region are mainly in the 25- to 59-year-old age group. Circulatory system diseases are the major causes of death.