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目的为降低儿科急重症的死亡率,提高儿科加强医疗病号的诊治质量。方法回顾性分析了自1995年1月～2000年1月5年中该院儿科加强医疗病房的死亡病例发生器官功能不全及病种分布情况。结果46例死亡病例发生器官功能不全以肺及胃肠道受累为主。1月～3岁组死亡率明显地高于3～12岁组,两组死亡例数差异有显著性意义(P<0.01)。可见随着年龄增长死亡率呈下降趋势,引起急重症患儿死亡的原发病各不相同,主要仍以败血症、呼吸系统及消化系统疾病为主。结论降低急重症患儿的死亡率必须首先降低1月～3岁以内婴幼儿的死亡率。应重视对呼吸系统疾病、败血症及消化系统疾症的诊治,认识危重症患儿的全身炎性反应综合征(SIRS)及时诊断和正确治疗对降低患儿的病死率将有重大意义。
The purpose is to reduce the mortality of pediatric critical illness and improve the quality of diagnosis and treatment of medical problems in pediatrics. Methods A retrospective analysis of the hospital from January 1995 to January 2000 5 years in pediatric intensive care unit deaths occurred organ dysfunction and disease distribution. Results 46 cases of deaths occurred organ dysfunction with lung and gastrointestinal involvement. The mortality rate in January ~ 3 years old group was significantly higher than that in 3 ~ 12 years old group, the difference between the two groups was significant (P <0.01). It can be seen that the mortality rate declines with age. The primary diseases that cause death in critically ill children are mainly different from each other, mainly in sepsis, respiratory and digestive diseases. Conclusions To reduce the mortality rate in critically ill children, we must first reduce the infant mortality rate between January and 3 years. Attention should be paid to the diagnosis and treatment of respiratory diseases, sepsis and digestive diseases. Understanding timely diagnosis and correct treatment of systemic inflammatory response syndrome (SIRS) in critically ill children will have great significance in reducing the mortality of children.