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目的 分析肿瘤急诊患者死亡原因。方法 搜集肿瘤急诊3460人次,总结分析其中105例急诊的死因。结果 本组肿瘤急诊死亡人数占急诊人次的3％(105/3460),由肿瘤本身引起死亡者占死亡总数的19％(20/105),肿瘤并发症引起死亡者81％(82/105),急诊24小时内死亡占本组死亡总数的18％(19/105),死亡前三位的原发病分别为肺癌、胃癌、肝癌。呼吸衰竭、感染、循环衰竭、出血、肝肾功能衰竭是常见死因,前两者分别占死亡总数的35％(37/105)、30.4％(32/105)。结论 癌症患者有一半以上死于急性并发症,应重视其预防。
Objective To analyze the causes of death in patients with cancer emergency. Methods Totally 3460 cancer emergency patients were collected and the cause of death of 105 emergency patients was analyzed. Results The number of deaths from emergency medical treatment in this group was 3% (105/3460) of the emergency patients, 19% (20/105) of the deaths caused by the tumor itself and 81% (82/105) of the deaths caused by tumor complications , The death within 24 hours of emergency department accounted for 18% (19/105) of the total number of deaths in this group. The first three deaths were lung cancer, gastric cancer and liver cancer respectively. Respiratory failure, infection, circulatory failure, hemorrhage and liver and kidney failure were common causes of death. The former two accounted for 35% (37/105) and 30.4% (32/105) respectively of the total deaths. Conclusion More than half of cancer patients die of acute complications, and their prevention should be emphasized.