目的了解青少年伤害住院患者损伤部位一般分布状况,为制定青少年伤害防治策略提供依据。方法整群抽取兰州市2002-2008年间2所省级综合医院2 113例青少年伤害住院患者的病历资料进行分析。结果青少年伤害住院患者损伤部位所占比例最高的是颅脑部,为30.76%。不同年龄段居于第2位的损伤部位,7～13岁小学生组为眼部(18.17%),14～19岁中学生组及20～24岁青年组均为下肢,前者占20.92%,后者占14.90%。下肢和脊柱的平均住院天数最长,分别为13.99 d和13.98 d。颅脑部所占死亡比例最高,达80.56%。骨盆部未愈率最高,为5.17%。颅脑和脊柱的病死率较高,分别为4.46%和2.86%。结论颅脑是青少年容易受伤的部位,同时也是易致死的损伤部位,应加强宣传教育,做好青少年伤害的防制工作。 Objective To understand the general distribution of injuries in hospitalized adolescents and provide basis for prevention and control strategies of adolescent injuries. Methods A total of 2 113 hospitalized adolescents with injuries from 2 provincial-level general hospitals in Lanzhou City during 2002-2008 were selected for medical records analysis. Results Adolescent injury hospitalized patients with the highest proportion of injury is the brain department, was 30.76%. In the age group, there was the second most common lesion in the age group. The pupils aged from 7 to 13 were the eyes (18.17%), the middle school students aged from 14 to 19 and the youth aged from 20 to 24 were all lower limbs, the former accounted for 20.92% and the latter accounted for 20.92% 14.90%. The average length of stay in lower limbs and spine was 13.99 days and 13.98 days, respectively. The proportion of brain death accounted for the highest, up to 80.56%. Pelvis unharmed highest rate of 5.17%. The mortality rate of brain and spine was higher, which were 4.46% and 2.86% respectively. Conclusion The brain is a vulnerable part of young people, but also easy to lethal parts of injury should be to strengthen publicity and education, prevention and treatment of adolescent injuries.