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目的了解20年来该院住院儿童恶性肿瘤概况。方法对 1979至 1998年167 018例住院儿童进行了回顾性分析。结果小儿恶性肿瘤2107例,占住院儿童的1.26%,男女之比1.7:1。白血病1180例占第一位(56.00%).其余依次为肾母细胞瘤187例(8.88%),恶性淋巴瘤149例(7.07%),神经母细胞瘤129例(6.12%).脑肿瘤127例(6.03%)等。发病年龄以学龄儿童多见,但某些肿瘤有其相对集中的发病年龄。住院儿童恶性肿瘤病死率90年代与80年代相比明显降低.其发病的绝对人数明显上升。结论诊断技术的进步和各种治疗手段的改进使小儿恶性肿瘤死亡率下降,小儿恶性肿瘤尤其是白血病人数上升。
Objective To understand the general situation of hospitalized children with malignant tumors in this hospital over the past 20 years. Methods A total of 167 018 hospitalized children from 1979 to 1998 were retrospectively analyzed. Results 2107 cases of malignant tumors in children, accounting for 1.26% of hospitalized children, male to female ratio of 1.7: 1. 1180 leukemia accounted for the first (56.00%). The rest were nephroblastoma 187 (8.88%), malignant lymphoma 149 (7.07%) and neuroblastoma 129 (6.12%). 127 cases of brain tumors (6.03%) and so on. Age of onset to more common in school-age children, but some tumors have their relative concentration of the age of onset. Mortality of hospitalized children with malignant tumors was significantly lower in the 1990s than in the 1980s. The absolute incidence of the disease increased significantly. Conclusion The progress of diagnostic techniques and the improvement of various treatment methods have led to the decline of the mortality of malignant tumors in children and the increase of the number of malignant tumors in children, especially leukemia.