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目的了解大连市儿童医院非住院死亡患儿的主要死因,为有效降低儿童院前病死率提供科学依据。方法收集2005-2009年大连市儿童医院非住院死亡患儿数据并进行分析。结果 189例非住院死亡病例的年龄构成以1岁以内患儿为主,占死亡病例数的88.3%;根本死因以先天畸形、新生儿期疾病、意外事故为主;放弃治疗占总死亡例数的51.9%。结论 1岁以内先天畸形患儿的死亡是儿童医院非住院患儿死因的主要组成部分。妇幼保健质量的提高、院前急救系统的完善及儿童社会医疗保障体系的实施是降低非住院患儿病死率,改善儿童生存状况的关键。
Objective To understand the main causes of death from non-hospitalized children in Dalian Children’s Hospital and to provide a scientific basis for effectively reducing the pretrial mortality. Methods The data of non-hospitalized children with death in Dalian Children’s Hospital from 2005 to 2009 were collected and analyzed. Results The age of 189 non-hospitalized deaths was mainly in children aged less than 1 year, accounting for 88.3% of the total number of deaths. The main causes of death were congenital malformations, neonatal diseases and accidents; Of 51.9%. Conclusion The death of children with congenital malformations within one year old is the major cause of death in non-hospitalized children in Children’s Hospital. Improve the quality of maternal and child health, improve the pre-hospital emergency system and the implementation of children’s social medical security system is to reduce the non-hospital mortality in children and improve the survival of children key.