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目的:探讨5岁以下死亡儿童相关因素,并提出干预措施。方法:采用世界卫生组织推荐的十二表格法对2007年发生在宝山区的死亡儿童病例进行评审。结果:40例评为Ⅲ类(不可避免死亡),1例评为Ⅱ类(创造条件可避免死亡)。个人、家庭的态度和知识技能水平是造成儿童意外死亡和猝死的主要因素,家庭和社会的资源问题是导致先天性疾病儿童死亡的重要因素。结论:十二表格评审法有助于分析儿童死亡相关因素,发现问题,并提出干预措施。
Objectives: To explore the relevant factors of children under 5 years of age and to propose interventions. Methods: The 12-form recommended by World Health Organization (WHO) was used to assess the cases of children who died in 2007 in Baoshan District. Results: 40 cases were rated as type III (inevitable death) and one as grade II (condition was created to avoid death). Personal and family attitudes and knowledge and skills are the major causes of accidental and sudden child deaths in children, and the resource problems of families and society are important factors contributing to the death of children with congenital diseases. Conclusions: The twelve-form review helps to analyze factors related to child mortality, identify problems and propose interventions.