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目的 为降低儿科急重症的死亡率 ,评估其死因 ,以提高儿科加强医疗病房的诊治质量。方法 回顾性分析 5a中入 0 .2～ 12a儿科加强医疗病房72h内外死亡例数 ,并根据各年龄分段进行统计处理 ,采用χ2 检验 ;比较并分析各年龄组 72h内死亡病例的病种分布。结果 72h内死亡例数占总死亡例数的 2 7.7%,0 .2～3a年龄组 72h内死亡发生率明显高于 3～ 12a年龄组 ,两者死亡例数差异有显著意义 (P <0 .0 1) ,并且随着年龄的增长 ,其死亡发生率呈下降趋势。引起各年龄段死亡原因各不相同 ,首位原因是败血症和腹泻病并重度营养不良。结论 降低急重症患儿的死亡率必须首先降低 0 .2～ 3a儿童的死亡率 ;应重新认识和充分重视败血症及肠道感染合并重度营养不良在儿科急重症中的地位。
Objective To reduce the mortality of pediatric critical illness, to assess the cause of death, to enhance the quality of diagnosis and treatment of pediatric wards. Methods Retrospective analysis of 2a to 2a pediatric patients with internal and external 72-h medical institutions to strengthen the number of deaths, and according to the age of the statistical treatment, using χ2 test; comparison and analysis of the various deaths within 72 hours of disease distribution . Results The number of deaths within 72 hours accounted for 2 7.7% of the total number of deaths. The incidence of death within 72 hours in 0-2 ~ 3a age group was significantly higher than that in 3 ~ 12a age group (P <0 .0 1), and the incidence of death declined with age. The cause of death varies from age to age, with the top cause being sepsis and diarrhea and severe malnutrition. Conclusion It is necessary to reduce the mortality rate of infants with severe acute illness from 0 to 2 years old and reduce the mortality rate of children with acute severe illness first. The importance of severe malnutrition in sepsis and enteric infections combined with severe malnutrition should be rerecognized and fully taken seriously.