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目的:了解综合性医院住院儿童死亡原因及变化趋势。方法:整理了1983～2007年在该院14周岁以下住院儿童的死亡病例共计275份,对其病死率、死亡原因及构成比进行统计分析。结果:25年间平均病死率呈逐年下降趋势。前3位主要死因是意外、肿瘤、先天畸形,第4～8位死因为脑炎、系统性红斑狼疮、血液病、循环系统疾病。系统性红斑狼疮逐年递增,急性感染性多发性神经根炎、肺炎、破伤风、喉梗阻逐年递减或消失。结论:25年间儿童病死率及死因有其固定性及规律性变化,应针对此情况开展工作。
Objective: To understand the causes and trends of death in hospitalized children in general hospital. Methods: A total of 275 deaths of hospitalized children under 14 years of age from 1983 to 2007 were collected, and their mortality, causes of death and their proportions were statistically analyzed. Results: The average mortality rate showed a declining trend in 25 years. The first three major causes of death were accidents, cancer, congenital malformations, and deaths from positions 4 to 8 due to encephalitis, systemic lupus erythematosus, hematological diseases and circulatory diseases. Systemic lupus erythematosus increases year by year, acute infectious multiple nerve root inflammation, pneumonia, tetanus, laryngeal obstruction decreased year by year or disappeared. Conclusion: The mortality rate and cause of death in children have their regularity and regular change in 25 years. The work should be done according to this situation.