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目的:对高原地区神经内科住院患者98例死亡病例的情况分析。方法:采用SPSS软件对医院2006年9月—2009年9月全部死亡报告病例进行死因构成统计分析。结果:①男死亡73例,女死亡25例,男女之比为2.921;死亡率随海拔增高而增加;②对死因确诊的95例病例进行死因分析,第1位死因为:脑出血57例(60.00%),其次分别为:脑梗塞21例(22.11%)、转移瘤6例(6.32%);在脑出血和脑梗塞共78例患者中,合并有肺部感染患者为45例,高血压患者24例,合并糖尿病患者15例;③患者的死亡时间段结果提示凌晨12:00～3:59时间段为死亡高峰期。结论:加强对高原地区脑血管病患者死亡特点的认知,加大对慢性高原病的预防控制力度,提高高原地区人民的健康水平。
Objective: To analyze 98 cases of death in inpatients in neurology department of plateau area. Methods: SPSS software was used to analyze the cause of death of all reported cases of death from September 2006 to September 2009 in the hospital. Results: ① There were 73 male deaths and 25 female deaths, the ratio of male to female was 2.921. The mortality rate increased with the elevation of altitude. ②The cause of death was analyzed in 95 cases of the cause of death. The first cause of death was cerebral hemorrhage (60.00%), followed by 21 cases (22.11%) of cerebral infarction and 6 cases of metastatic tumor (6.32%). Of the 78 patients with cerebral hemorrhage and cerebral infarction, 45 cases were complicated with pulmonary infection, 24 patients with hypertension, 15 patients with diabetes mellitus; ③The patient’s death period results suggest that the peak period of death from 12: 00 ~ 3: 59 in the morning. Conclusion: To enhance the cognition of the death characteristics of patients with cerebrovascular disease in the plateau area, increase the prevention and control of chronic mountain sickness and improve the health of the people in plateau area.