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目的 :了解高原地区医院住院病人死亡的原因和特点 ; 方法 :采用系统回顾性调查分析方法 ,分析了我院自 1 956年— 2 0 0 1年收治的 1 3 54例死亡病例 ;结果 :我院住院病人死亡人数整体呈下降趋势 ,死亡原因顺位依次为传染病、创伤、高山病、呼吸、消化、恶性肿瘤 ,传染病住院死亡人数从 50年代至今一直偏高不下 ,心脏疾病住院死亡人数较内地同期比偏低 ,高山病死亡人数 80年代以后明显下降 ;结论 :西藏高原地区 ,住院病人死亡特点同平原地区相比明显不同 ,其中在所有死亡病例当中 ,传染病所致的死亡病例最多 ,高山病在 50年代、60年代、70年代死亡构成比很高 ,而 80年代以来下降到较低水平。
OBJECTIVE: To understand the causes and characteristics of inpatients’ death in hospital in plateau area.Methods: A systematic retrospective survey was conducted to analyze 13 54 deaths in our hospital from 1995 to 2001. Results: Hospital inpatient deaths as a whole showed a downward trend, followed by death causes of infectious diseases, trauma, mountain sickness, respiratory, digestive, malignant tumors, infectious diseases inpatient deaths have been high from the 50’s to the present, the number of hospital deaths of heart disease Compared with the same period of the Mainland, the number of deaths from alpine diseases decreased significantly after the 1980s. Conclusion: The characteristics of inpatient death in Tibet Plateau were significantly different from those in the plain areas. Among all the deaths, the most deaths from infectious diseases The proportion of death from mountain sickness in the 1950s, 1960s and 1970s was very high, but it dropped to a lower level since the 1980s.