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目的分析重症医学科的住院死亡病例特征,为学科发展提供决策依据。方法从性别分组、年龄分组和疾病构成等方面对某院2003年-2012年重症医学科的住院死亡病例进行统计分析。结果男性重症患者病死率高于女性,年龄构成以60岁及以上年龄组为主,0岁~6岁年龄组病死率最高。循环系统疾病、肿瘤、呼吸系统疾病、消化系统疾病、传染病和寄生虫病构成住院死亡的主要疾病。结论关注男性老年重症患者,重点针对循环系统疾病、肿瘤和呼吸系统疾病开展疾病防治工作,对于降低重症患者的病死率具有重要意义。
Objective To analyze the characteristics of inpatient deaths in critical care and to provide decision-making basis for the development of disciplines. Methods The hospitalized cases of death in critical care department from 2003 to 2012 in a hospital from the aspects of sex grouping, age grouping and disease constitution were analyzed statistically. Results The mortality rate of severe cases in males was higher than that of females. The age was mainly composed of people aged 60 and over, and the case fatality rate was the highest in 0 ~ 6 years old group. Circulatory diseases, tumors, respiratory diseases, digestive diseases, infectious diseases and parasitic diseases constitute the major hospital-acquired deaths. Conclusion Concerned about male patients with severe elderly patients, focusing on the prevention and treatment of circulatory diseases, cancer and respiratory diseases, is of great significance for reducing the mortality of critically ill patients.