摘要
目的分析某三甲综合医院妇女儿童分院住院患者死亡病例的特点以及相关变化,为提高妇女儿童专科医疗质量,降低妇女儿童病死率,合理运用医疗资源提供科学依据。方法通过医院His系统提取2012年1月1日-2019年12月31日医院的妇女儿童分院出院患者中出院情况等于死亡的患者数207例,运用Excel2007对患者的病死率、性别、年龄、各年龄段主要死因进行数据分析。结果住院患者中妇女儿童总死亡人数207例,病死率0.14%。死亡儿童中男多于女,比例1.23;分院死亡病例中男女比例1.18;其中0~2岁患者死亡数最多148人,构成比71.50%。早产及低出生体重为新生儿主要死因,构成比47.30%;呼吸道疾病和传染寄生虫疾病是婴幼儿时期主要死因,构成比分别为22.97%、17.57%,两者占该年龄段40.54%;损伤中毒是学龄及学龄前期主要死因,构成比45.45%;羊水栓塞是孕产妇主要死因,构成比50%。结论医院应加强产妇孕期保健,预防新生儿的早产;增设医疗资源对儿童呼吸道疾病和传染和寄生虫病的诊治与预防;学龄及学龄前儿童加强生命健康宣教;熟悉并掌握孕产妇各种并发症处理方案与流程。医院可加强对危重症儿童和高危孕产妇不定期的急救演练,不断总结经验教训,进一步提高妇女儿童救治水平和医疗质量。
Objective The characteristics and related changes of death cases of inpatients in a women’s and children’s branch of a third-class general hospital were analyzed in order to provide a scientific basis for improving the medical quality of women and children,reducing the fatality rate of women and children and making rational use of medical resources.Methods The hospital His system was used to extract the number of women and children discharged from the hospital from January 1,2012 to December 31,2019.Excel2007 was used to analyze the mortality,sex,age and main causes of death of the patients.Results Among the hospitalized patients,the total number of deaths of women and children was 207,and the case fatality rate was 0.14%.Among the dead children,there were more men than women,the proportion was 1.23;the ratio of men to women in the hospital was 1.18:among them,the highest number of deaths at the end of the age of 2 was 148,accounting for a ratio of71.50%.Preterm birth and low birth weight are the main causes of death of newborns,with a constituent ratio of47.30%.Respiratory diseases and infectious parasitic diseases are the main causes of death in infants and young children,accounting for 22.97% and 17.57%,respectively,accounting for 40.54% of this age group.Injury and poisoning is the main cause of death of school age and preschool age,with a constituent ratio of 45.45%;amniotic fluid embolism is the main cause of death of pregnant and lying-in women,with a constituent ratio of 50.Conclusion Hospitals should strengthen maternal health care during pregnancy to prevent premature delivery of newborns,increase medical resources for the diagnosis,treatment and prevention of respiratory diseases,infectious and parasitic diseases in children,and strengthen life and health education for school-age and preschool children,be familiar with and master the management plans and procedures of various maternal complications.Hospitals can strengthen irregular first aid drills for critically ill children and high-risk pregnant women,constantly sum up experiences and lessons,and further improve the treatment level and medical quality of women and children.
作者
彭宏海
毛丹
Peng Honghai;Mao Dan(Medical Records Statistics Department,Chongqing Three Gorges Central Hospital,Chongqing 404100,China)
出处
《中国病案》
2020年第4期61-64,共4页
Chinese Medical Record
关键词
病死率
死因顺位
主要死因
孕产妇死亡
资源配置
Case fatality rate
Order of causes of death
Main causes of death
Maternal mortality
Resource allocation
